| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
712 |
568 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
65 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
37 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
20 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
57 |
56 |
$963.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
67 |
$448.00 |
| 96127 |
|
85 |
80 |
$396.98 |
| 90686 |
|
26 |
25 |
$361.57 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$154.00 |
| 81025 |
|
14 |
13 |
$61.62 |
| 81002 |
|
27 |
25 |
$27.50 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
68 |
59 |
$0.00 |
| 1036F |
|
170 |
145 |
$0.00 |
| 1101F |
|
22 |
17 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
50 |
37 |
$0.00 |
| 3014F |
|
16 |
15 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
58 |
55 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
172 |
144 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
24 |
19 |
$0.00 |
| 1123F |
|
22 |
17 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
155 |
129 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
19 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
228 |
194 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
59 |
52 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
196 |
162 |
$0.00 |
| 4004F |
|
100 |
76 |
$0.00 |