| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,883 |
4,130 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,744 |
2,333 |
$280K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,992 |
4,579 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,425 |
1,338 |
$151K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,095 |
1,041 |
$132K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,180 |
1,102 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
772 |
698 |
$78K |
| 96127 |
|
3,188 |
2,934 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
874 |
792 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,175 |
1,071 |
$26K |
| 99173 |
|
2,030 |
1,863 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
688 |
637 |
$8K |
| D0145 |
Oral evaluation for a patient under three years of age |
305 |
300 |
$7K |
| 90651 |
|
217 |
198 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
180 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
55 |
$1K |
| 90686 |
|
2,129 |
1,910 |
$1K |
| 99188 |
|
16 |
12 |
$273.60 |
| 92552 |
|
21 |
13 |
$166.14 |
| 90674 |
|
244 |
223 |
$60.00 |
| 90677 |
|
60 |
55 |
$0.01 |
| 81002 |
|
949 |
895 |
$0.00 |
| 90633 |
|
38 |
36 |
$0.00 |
| 90670 |
|
281 |
266 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
210 |
169 |
$0.00 |
| 90661 |
|
97 |
93 |
$0.00 |
| 90685 |
|
62 |
60 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
94 |
84 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
242 |
211 |
$0.00 |
| 90734 |
|
51 |
49 |
$0.00 |
| 90671 |
|
41 |
41 |
$0.00 |
| 90698 |
|
159 |
148 |
$0.00 |
| 85018 |
|
48 |
45 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
1,120 |
1,033 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |