| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,365 |
4,948 |
$426K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,774 |
6,332 |
$400K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,387 |
3,380 |
$300K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,392 |
3,223 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,851 |
5,784 |
$139K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,460 |
1,456 |
$130K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,656 |
3,631 |
$108K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,983 |
6,575 |
$92K |
| D0190 |
|
4,238 |
4,224 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
302 |
302 |
$25K |
| 99381 |
|
184 |
182 |
$16K |
| 36416 |
|
1,685 |
1,421 |
$14K |
| 92551 |
|
2,034 |
2,025 |
$13K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
3,962 |
3,951 |
$9K |
| 83655 |
|
748 |
744 |
$8K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,359 |
3,351 |
$8K |
| 99188 |
|
940 |
939 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
410 |
405 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,959 |
3,948 |
$5K |
| 96127 |
|
1,261 |
1,074 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
344 |
344 |
$4K |
| 99174 |
|
1,355 |
1,353 |
$3K |
| 96161 |
|
2,441 |
2,285 |
$3K |
| 85018 |
|
1,623 |
1,620 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
102 |
$2K |
| 90677 |
|
158 |
158 |
$2K |
| 99383 |
|
17 |
17 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
110 |
110 |
$1K |
| 94060 |
|
27 |
27 |
$891.28 |
| 87420 |
|
66 |
66 |
$185.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$126.84 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
52 |
52 |
$110.00 |
| 80061 |
Lipid panel |
26 |
26 |
$89.61 |
| 90686 |
|
1,342 |
1,337 |
$58.39 |
| 81003 |
|
13 |
13 |
$14.39 |
| 90685 |
|
204 |
202 |
$0.02 |
| 90656 |
|
138 |
138 |
$0.01 |
| 90723 |
|
1,323 |
1,316 |
$0.00 |
| 90696 |
|
44 |
44 |
$0.00 |
| 3008F |
|
918 |
888 |
$0.00 |
| 90716 |
|
654 |
653 |
$0.00 |
| 90647 |
|
1,348 |
1,338 |
$0.00 |
| 99422 |
|
18 |
13 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
14 |
14 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90707 |
|
665 |
664 |
$0.00 |
| 99173 |
|
764 |
761 |
$0.00 |
| 90670 |
|
1,685 |
1,676 |
$0.00 |
| 90461 |
|
66 |
66 |
$0.00 |
| 90633 |
|
738 |
733 |
$0.00 |
| 90681 |
|
402 |
400 |
$0.00 |
| 91308 |
|
26 |
25 |
$0.00 |
| 94664 |
|
39 |
39 |
$0.00 |
| 90700 |
|
53 |
53 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
46 |
43 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
27 |
26 |
$0.00 |