| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
227 |
211 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
190 |
$20K |
| 99382 |
|
94 |
93 |
$11K |
| 99383 |
|
88 |
87 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
220 |
220 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$6K |
| 90671 |
|
161 |
159 |
$3K |
| 99188 |
|
240 |
240 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
189 |
$3K |
| 90633 |
|
123 |
123 |
$2K |
| 90647 |
|
105 |
103 |
$2K |
| 90686 |
|
103 |
101 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
331 |
302 |
$2K |
| 99381 |
|
16 |
15 |
$2K |
| 90656 |
|
81 |
81 |
$2K |
| 90723 |
|
73 |
72 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
577 |
532 |
$1K |
| 99173 |
|
410 |
409 |
$783.47 |
| 97802 |
|
26 |
26 |
$695.30 |
| 90680 |
|
24 |
24 |
$425.04 |
| 99401 |
|
13 |
13 |
$408.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
886 |
845 |
$311.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
185 |
$298.74 |
| 90716 |
|
13 |
13 |
$253.80 |
| 90710 |
|
12 |
12 |
$231.84 |
| 92551 |
|
451 |
449 |
$226.66 |
| 99071 |
|
1,278 |
1,200 |
$0.27 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
118 |
118 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
233 |
232 |
$0.00 |