| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
180 |
180 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208 |
201 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
108 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
261 |
261 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
730 |
716 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
52 |
$4K |
| D0190 |
|
270 |
270 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
73 |
$3K |
| 96161 |
|
24 |
24 |
$11.42 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
170 |
170 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
153 |
153 |
$0.00 |
| 3008F |
|
238 |
227 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |
| 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 |
170 |
170 |
$0.00 |