| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,563 |
4,164 |
$167K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
677 |
675 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
968 |
943 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
635 |
600 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,250 |
2,179 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,191 |
1,158 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,272 |
1,246 |
$15K |
| 99460 |
|
154 |
154 |
$8K |
| D0190 |
|
408 |
405 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
95 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
191 |
187 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
125 |
$3K |
| 90686 |
|
401 |
401 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
50 |
50 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 96127 |
|
207 |
201 |
$598.89 |
| 90474 |
|
195 |
189 |
$577.29 |
| 90670 |
|
629 |
614 |
$275.00 |
| 98966 |
|
15 |
15 |
$132.90 |
| 99188 |
|
12 |
12 |
$91.11 |
| 3725F |
|
679 |
666 |
$0.21 |
| 1159F |
|
1,832 |
1,762 |
$0.21 |
| 1000F |
|
1,648 |
1,576 |
$0.21 |
| 3044F |
|
618 |
577 |
$0.21 |
| 3079F |
|
417 |
397 |
$0.21 |
| 4040F |
|
2,305 |
2,189 |
$0.00 |
| 1160F |
|
1,855 |
1,783 |
$0.00 |
| 4025F |
|
397 |
363 |
$0.00 |
| 1032F |
|
63 |
60 |
$0.00 |
| 3078F |
|
812 |
778 |
$0.00 |
| 1033F |
|
803 |
783 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 90681 |
|
14 |
12 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
38 |
37 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 4013F |
|
17 |
16 |
$0.00 |
| 90633 |
|
106 |
104 |
$0.00 |
| 3077F |
|
14 |
12 |
$0.00 |
| 98968 |
|
12 |
12 |
$0.00 |
| 3015F |
|
14 |
12 |
$0.00 |
| 90461 |
|
22 |
22 |
$0.00 |
| 1036F |
|
1,135 |
1,079 |
$0.00 |
| 1031F |
|
1,044 |
1,018 |
$0.00 |
| 3074F |
|
1,150 |
1,081 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 4140F |
|
50 |
42 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
15 |
15 |
$0.00 |
| 1111F |
|
461 |
452 |
$0.00 |
| 1034F |
|
187 |
182 |
$0.00 |
| 4010F |
|
57 |
52 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
266 |
262 |
$0.00 |
| 90680 |
|
194 |
188 |
$0.00 |
| 90698 |
|
416 |
409 |
$0.00 |
| 4037F |
|
77 |
77 |
$0.00 |
| 90744 |
|
150 |
141 |
$0.00 |
| 3075F |
|
39 |
38 |
$0.00 |
| 98967 |
|
14 |
14 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |