| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,358 |
1,252 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,537 |
2,450 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
936 |
902 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
961 |
878 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,551 |
1,309 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
300 |
292 |
$46K |
| 99384 |
|
329 |
323 |
$42K |
| 99383 |
|
355 |
347 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
350 |
345 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
244 |
236 |
$27K |
| 99382 |
|
274 |
270 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
263 |
251 |
$26K |
| 90461 |
|
919 |
889 |
$21K |
| 97802 |
|
1,331 |
1,275 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,330 |
1,289 |
$19K |
| 99381 |
|
191 |
179 |
$17K |
| 92587 |
|
445 |
425 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
554 |
541 |
$7K |
| 96160 |
|
1,868 |
1,805 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
481 |
447 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
96 |
$4K |
| 92551 |
|
747 |
718 |
$2K |
| 96127 |
|
666 |
648 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
96 |
$2K |
| 87807 |
|
85 |
85 |
$1K |
| 99173 |
|
889 |
857 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
66 |
$921.65 |
| 99174 |
|
218 |
216 |
$816.00 |
| 3008F |
|
947 |
939 |
$690.00 |
| 87428 |
|
13 |
13 |
$643.98 |
| 96161 |
|
304 |
270 |
$580.65 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
178 |
176 |
$500.40 |
| 94664 |
|
30 |
26 |
$484.38 |
| 85018 |
|
237 |
229 |
$477.89 |
| 90620 |
|
97 |
96 |
$197.18 |
| 94760 |
|
22 |
18 |
$149.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$117.33 |
| 99429 |
|
97 |
65 |
$110.00 |
| 1005F |
|
43 |
38 |
$57.00 |
| 90671 |
|
98 |
97 |
$0.02 |
| 3078F |
|
20 |
20 |
$0.01 |
| 90647 |
|
561 |
525 |
$0.00 |
| 36416 |
|
238 |
230 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
140 |
140 |
$0.00 |
| 90651 |
|
178 |
171 |
$0.00 |
| 90723 |
|
565 |
526 |
$0.00 |
| 1220F |
|
74 |
74 |
$0.00 |
| 90656 |
|
20 |
17 |
$0.00 |
| 90686 |
|
396 |
382 |
$0.00 |
| 90696 |
|
56 |
56 |
$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) |
16 |
16 |
$0.00 |
| 90700 |
|
49 |
49 |
$0.00 |
| 90710 |
|
305 |
297 |
$0.00 |
| 90670 |
|
680 |
643 |
$0.00 |
| 90633 |
|
371 |
355 |
$0.00 |
| 90681 |
|
100 |
93 |
$0.00 |
| 90734 |
|
208 |
200 |
$0.00 |
| 90715 |
|
22 |
19 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
43 |
43 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 90658 |
|
18 |
16 |
$0.00 |