| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,295 |
5,094 |
$211K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
699 |
655 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
535 |
509 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
479 |
447 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,259 |
1,103 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
424 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
304 |
290 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,562 |
1,456 |
$338.02 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,141 |
903 |
$292.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
874 |
448 |
$73.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
859 |
445 |
$47.00 |
| 90651 |
|
143 |
137 |
$27.00 |
| 90633 |
|
185 |
175 |
$9.00 |
| G8708 |
Patient not prescribed antibiotic |
412 |
402 |
$0.00 |
| 4144F |
|
612 |
559 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,943 |
1,532 |
$0.00 |
| 3008F |
|
1,668 |
1,569 |
$0.00 |
| 90620 |
|
172 |
164 |
$0.00 |
| 4015F |
|
134 |
118 |
$0.00 |
| 4140F |
|
15 |
15 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 90656 |
|
64 |
62 |
$0.00 |
| 90648 |
|
213 |
203 |
$0.00 |
| 90670 |
|
321 |
309 |
$0.00 |
| G8709 |
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
3,695 |
3,156 |
$0.00 |
| 90700 |
|
38 |
37 |
$0.00 |
| 4120F |
|
145 |
123 |
$0.00 |
| 90734 |
|
63 |
60 |
$0.00 |