| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,116 |
2,776 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,083 |
1,827 |
$87K |
| 99091 |
|
363 |
356 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
282 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
367 |
207 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
38 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
45 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
70 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
13 |
$1K |
| 81025 |
|
70 |
66 |
$475.32 |
| 90461 |
|
14 |
12 |
$88.83 |
| 81003 |
|
46 |
40 |
$65.44 |
| 1036F |
|
1,106 |
976 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,766 |
1,470 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
80 |
66 |
$0.00 |