| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,525 |
1,348 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
401 |
380 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
254 |
237 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
232 |
230 |
$4K |
| 87428 |
|
421 |
407 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
868 |
848 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
30 |
$763.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
435 |
415 |
$456.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$371.98 |
| 92558 |
|
523 |
513 |
$195.53 |
| 85018 |
|
267 |
262 |
$19.28 |
| 83655 |
|
26 |
26 |
$8.53 |
| 90686 |
|
131 |
131 |
$5.00 |
| 96160 |
|
166 |
156 |
$2.47 |
| 90670 |
|
150 |
148 |
$0.04 |
| 36416 |
|
192 |
180 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
825 |
728 |
$0.00 |
| 90647 |
|
91 |
89 |
$0.00 |
| 90723 |
|
46 |
46 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
168 |
158 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |
| 99173 |
|
594 |
564 |
$0.00 |
| 90633 |
|
64 |
62 |
$0.00 |
| 90710 |
|
39 |
39 |
$0.00 |