| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,977 |
4,393 |
$320K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,151 |
1,883 |
$53K |
| 92587 |
|
622 |
619 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
240 |
211 |
$21K |
| G9920 |
Screening performed and negative |
1,450 |
1,446 |
$19K |
| 99381 |
|
53 |
53 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
196 |
191 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
499 |
497 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
117 |
117 |
$4K |
| 90700 |
|
377 |
374 |
$3K |
| 90686 |
|
319 |
315 |
$2K |
| 90648 |
|
238 |
238 |
$2K |
| 90713 |
|
249 |
247 |
$2K |
| 90670 |
|
236 |
236 |
$2K |
| 90680 |
|
160 |
160 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
520 |
504 |
$1K |
| 90685 |
|
70 |
53 |
$1K |
| 92551 |
|
163 |
159 |
$669.17 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$593.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$576.73 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$271.40 |
| 90744 |
|
26 |
26 |
$234.00 |
| 99173 |
|
146 |
142 |
$168.79 |
| 90677 |
|
13 |
13 |
$117.00 |
| 86580 |
|
75 |
72 |
$86.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
231 |
$26.73 |
| 90707 |
|
12 |
12 |
$9.00 |
| 1036F |
|
387 |
387 |
$0.00 |
| 3008F |
|
388 |
382 |
$0.00 |