| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,484 |
2,377 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
883 |
801 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
105 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$3K |
| 99490 |
Ccm add 20min |
440 |
440 |
$3K |
| 90686 |
|
554 |
552 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$226.99 |
| 3079F |
|
152 |
150 |
$70.00 |
| 96127 |
|
13 |
13 |
$52.00 |
| 3078F |
|
240 |
238 |
$50.00 |
| 3074F |
|
444 |
432 |
$50.00 |
| 99173 |
|
430 |
426 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
335 |
302 |
$0.00 |
| 92552 |
|
399 |
395 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
68 |
68 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
29 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
56 |
56 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |