| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,583 |
1,441 |
$90K |
| 99215 |
Prolong outpt/office vis |
523 |
490 |
$39K |
| S9470 |
Nutritional counseling, dietitian visit |
387 |
356 |
$10K |
| 94760 |
|
1,641 |
1,357 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
381 |
375 |
$9K |
| 92081 |
|
248 |
247 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
352 |
326 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
196 |
196 |
$8K |
| D1206 |
Topical application of fluoride varnish |
302 |
302 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
454 |
439 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
277 |
275 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
225 |
222 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
67 |
$3K |
| 92551 |
|
239 |
238 |
$3K |
| 86580 |
|
278 |
276 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
28 |
$1K |
| 96150 |
|
40 |
40 |
$738.27 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$681.20 |
| 81002 |
|
226 |
220 |
$651.96 |
| 85018 |
|
181 |
180 |
$563.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
51 |
$374.34 |
| 90651 |
|
14 |
14 |
$219.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
20 |
$190.01 |
| 99070 |
|
29 |
28 |
$72.50 |
| 99058 |
|
475 |
430 |
$0.00 |
| 90716 |
|
30 |
30 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
27 |
$0.00 |
| 90700 |
|
107 |
107 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90713 |
|
78 |
78 |
$0.00 |
| 90648 |
|
32 |
32 |
$0.00 |
| 90670 |
|
60 |
60 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
32 |
30 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |