| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
475 |
447 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284 |
266 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
185 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
136 |
$14K |
| 90461 |
|
249 |
248 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
364 |
361 |
$5K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
45 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
113 |
113 |
$883.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
51 |
$709.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
54 |
53 |
$645.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
58 |
58 |
$429.20 |
| 87081 |
|
36 |
36 |
$220.85 |
| 83655 |
|
12 |
12 |
$138.48 |
| 90686 |
|
25 |
25 |
$90.30 |
| 96161 |
|
12 |
12 |
$35.80 |
| 90670 |
|
94 |
94 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| G9153 |
Mapcp demonstration - physician incentive pool |
329 |
328 |
$0.00 |
| 94760 |
|
102 |
95 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90680 |
|
46 |
46 |
$0.00 |
| 90698 |
|
48 |
48 |
$0.00 |