| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
257 |
211 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
152 |
133 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
89 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
326 |
273 |
$2K |
| 0071A |
|
17 |
17 |
$680.00 |
| 0072A |
|
16 |
16 |
$640.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
44 |
$476.48 |
| 81002 |
|
44 |
40 |
$92.44 |
| 91307 |
|
24 |
24 |
$0.24 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
274 |
223 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
25 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
91 |
71 |
$0.00 |