| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,763 |
1,575 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
610 |
574 |
$10K |
| 90686 |
|
514 |
507 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
885 |
876 |
$2K |
| 90707 |
|
40 |
38 |
$1K |
| 0072A |
|
24 |
24 |
$1K |
| 0071A |
|
23 |
23 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
102 |
$549.73 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$360.00 |
| 96127 |
|
317 |
310 |
$257.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
87 |
$178.04 |
| 90461 |
|
156 |
156 |
$136.94 |
| 92551 |
|
287 |
286 |
$115.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$114.40 |
| 99173 |
|
359 |
357 |
$55.65 |
| 90685 |
|
34 |
34 |
$21.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
104 |
$6.94 |
| G9275 |
Documentation that patient is a current non-tobacco user |
531 |
468 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
135 |
130 |
$0.00 |
| 91307 |
|
44 |
44 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
19 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
12 |
$0.00 |