| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,680 |
1,562 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,342 |
2,012 |
$128K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,541 |
1,388 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,650 |
1,407 |
$118K |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,755 |
8,520 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,292 |
1,115 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
952 |
832 |
$72K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,396 |
2,151 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,734 |
3,309 |
$48K |
| 99460 |
|
247 |
215 |
$14K |
| 99383 |
|
201 |
149 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
208 |
186 |
$9K |
| 90474 |
|
656 |
611 |
$9K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
447 |
397 |
$5K |
| 99384 |
|
94 |
73 |
$5K |
| 99382 |
|
70 |
62 |
$4K |
| 83655 |
|
411 |
384 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
416 |
412 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
15 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
44 |
$2K |
| 99381 |
|
36 |
27 |
$2K |
| 54150 |
|
14 |
12 |
$1K |
| 85018 |
|
413 |
386 |
$793.66 |
| 90473 |
|
47 |
42 |
$675.00 |
| 90710 |
|
491 |
451 |
$259.37 |
| 90620 |
|
154 |
126 |
$244.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$221.31 |
| 90686 |
|
759 |
616 |
$132.93 |
| 90734 |
|
413 |
352 |
$102.50 |
| 96127 |
|
28 |
14 |
$23.28 |
| 90680 |
|
611 |
569 |
$4.97 |
| 90670 |
|
1,134 |
1,061 |
$2.70 |
| 90633 |
|
632 |
569 |
$0.00 |
| 3078F |
|
325 |
312 |
$0.00 |
| 3077F |
|
58 |
57 |
$0.00 |
| 90715 |
|
350 |
295 |
$0.00 |
| 90672 |
|
53 |
48 |
$0.00 |
| 90647 |
|
475 |
440 |
$0.00 |
| 3079F |
|
281 |
273 |
$0.00 |
| 3074F |
|
459 |
437 |
$0.00 |
| 90723 |
|
490 |
453 |
$0.00 |
| 3075F |
|
103 |
102 |
$0.00 |
| 90651 |
|
445 |
398 |
$0.00 |
| 90696 |
|
144 |
131 |
$0.00 |
| 90698 |
|
412 |
392 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 90674 |
|
51 |
48 |
$0.00 |