| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,128 |
1,848 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
232 |
215 |
$7K |
| 90633 |
|
403 |
395 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
39 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$2K |
| 99408 |
|
61 |
57 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
78 |
$2K |
| 90734 |
|
38 |
37 |
$585.43 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$409.30 |
| 90651 |
|
17 |
17 |
$276.00 |
| 90688 |
|
14 |
13 |
$201.97 |
| 3008F |
|
259 |
254 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
28 |
25 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
149 |
130 |
$0.00 |
| 2014F |
|
73 |
71 |
$0.00 |