| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,619 |
1,429 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
90 |
$9K |
| 92587 |
|
192 |
192 |
$7K |
| 94010 |
|
239 |
238 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
201 |
196 |
$4K |
| 86580 |
|
251 |
250 |
$1K |
| 93000 |
|
65 |
65 |
$941.18 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$637.13 |
| 97802 |
|
252 |
251 |
$617.78 |
| 90686 |
|
153 |
142 |
$549.71 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
25 |
25 |
$400.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
84 |
$192.94 |
| 36415 |
Collection of venous blood by venipuncture |
353 |
351 |
$154.60 |
| 94060 |
|
12 |
12 |
$90.55 |
| 99406 |
|
56 |
56 |
$13.68 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
27 |
27 |
$0.01 |
| 99072 |
|
93 |
81 |
$0.00 |