| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,001 |
9,261 |
$1.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,369 |
8,268 |
$1.13M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,074 |
975 |
$114K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
623 |
587 |
$59K |
| 99215 |
Prolong outpt/office vis |
191 |
166 |
$17K |
| 99000 |
|
2,783 |
2,195 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,443 |
910 |
$1K |
| 36410 |
|
765 |
663 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
399 |
219 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 94010 |
|
103 |
90 |
$979.27 |
| 95012 |
|
81 |
78 |
$613.90 |
| 99050 |
|
414 |
385 |
$507.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
671 |
655 |
$434.37 |
| 98960 |
|
8,135 |
7,183 |
$344.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$158.56 |
| 97802 |
|
88 |
86 |
$151.55 |
| 92552 |
|
13 |
12 |
$126.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$102.49 |
| 92081 |
|
27 |
26 |
$83.83 |
| 81002 |
|
271 |
256 |
$74.06 |
| 90461 |
|
403 |
117 |
$70.76 |
| S9470 |
Nutritional counseling, dietitian visit |
52 |
52 |
$60.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
53 |
$48.84 |
| 99417 |
Prolong home eval add 15m |
13 |
12 |
$27.48 |
| 99441 |
|
129 |
119 |
$23.31 |
| 96160 |
|
3,116 |
2,830 |
$21.39 |
| 90688 |
|
153 |
153 |
$17.16 |
| 96161 |
|
898 |
846 |
$12.26 |
| 94760 |
|
3,587 |
3,301 |
$1.96 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,148 |
1,065 |
$0.19 |
| 96127 |
|
2,624 |
2,378 |
$0.00 |
| 0001A |
|
105 |
102 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
49 |
42 |
$0.00 |
| 1111F |
|
2,320 |
2,089 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
210 |
193 |
$0.00 |
| 90686 |
|
107 |
105 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
137 |
130 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
247 |
231 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
16 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
66 |
58 |
$0.00 |
| 92283 |
|
29 |
28 |
$0.00 |
| 0001F |
|
188 |
179 |
$0.00 |
| 80502 |
|
83 |
80 |
$0.00 |
| 2001F |
|
25 |
24 |
$0.00 |
| 90680 |
|
34 |
34 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
28 |
28 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
20 |
19 |
$0.00 |
| 90723 |
|
32 |
32 |
$0.00 |
| 99381 |
|
13 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
18 |
$0.00 |
| 99383 |
|
46 |
43 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |
| 3725F |
|
719 |
645 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
30 |
30 |
$0.00 |
| 99051 |
|
1,061 |
894 |
$0.00 |
| D0190 |
|
15 |
13 |
$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 |
189 |
174 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,667 |
2,405 |
$0.00 |
| 0002A |
|
66 |
66 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$0.00 |
| 4551F |
|
849 |
763 |
$0.00 |
| 91300 |
|
238 |
213 |
$0.00 |
| 90863 |
|
117 |
110 |
$0.00 |
| 3078F |
|
107 |
99 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
33 |
12 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
14 |
14 |
$0.00 |
| 90671 |
|
16 |
16 |
$0.00 |
| G9923 |
Safety concerns screen provided and negative |
15 |
13 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 6102F |
|
14 |
12 |
$0.00 |
| 99382 |
|
45 |
44 |
$0.00 |
| 90670 |
|
67 |
66 |
$0.00 |
| 99401 |
|
31 |
31 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
15 |
13 |
$0.00 |
| G0271 |
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), group (2 or more individuals), each 30 minutes |
14 |
14 |
$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 |
14 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
20 |
19 |
$0.00 |