| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,168 |
5,109 |
$405K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,144 |
3,977 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,495 |
2,352 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,462 |
3,290 |
$219K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,209 |
8,931 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,241 |
2,233 |
$182K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,666 |
1,624 |
$64K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,207 |
1,187 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,227 |
2,145 |
$28K |
| 99381 |
|
200 |
197 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
419 |
406 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
146 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
107 |
107 |
$8K |
| 99460 |
|
141 |
136 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
118 |
112 |
$7K |
| 92551 |
|
925 |
915 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
58 |
55 |
$6K |
| D0190 |
|
273 |
268 |
$4K |
| 99215 |
Prolong outpt/office vis |
22 |
22 |
$4K |
| 99188 |
|
368 |
363 |
$3K |
| 0071A |
|
56 |
56 |
$2K |
| 90677 |
|
14 |
14 |
$2K |
| 99177 |
|
453 |
446 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 90480 |
|
29 |
29 |
$1K |
| 0072A |
|
26 |
26 |
$1K |
| 0001A |
|
13 |
13 |
$418.78 |
| 90685 |
|
489 |
469 |
$370.78 |
| 99462 |
|
15 |
14 |
$360.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
25 |
$268.03 |
| 99174 |
|
59 |
59 |
$179.16 |
| 96127 |
|
54 |
54 |
$155.51 |
| 97802 |
|
220 |
220 |
$105.00 |
| 90686 |
|
1,297 |
1,284 |
$40.34 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
190 |
190 |
$40.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
137 |
137 |
$0.07 |
| 90461 |
|
1,271 |
1,259 |
$0.00 |
| 90670 |
|
2,647 |
2,567 |
$0.00 |
| 90633 |
|
1,299 |
1,279 |
$0.00 |
| 90707 |
|
319 |
316 |
$0.00 |
| 90710 |
|
410 |
406 |
$0.00 |
| 90655 |
|
40 |
39 |
$0.00 |
| 99173 |
|
216 |
213 |
$0.00 |
| 90700 |
|
158 |
153 |
$0.00 |
| 3078F |
|
102 |
102 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90658 |
|
29 |
29 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 90680 |
|
1,457 |
1,405 |
$0.00 |
| 90744 |
|
1,093 |
1,057 |
$0.00 |
| 90698 |
|
1,802 |
1,731 |
$0.00 |
| 3080F |
|
22 |
22 |
$0.00 |
| 90716 |
|
340 |
332 |
$0.00 |
| 90696 |
|
374 |
370 |
$0.00 |
| 90651 |
|
155 |
155 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
48 |
48 |
$0.00 |
| 90647 |
|
91 |
88 |
$0.00 |
| 90697 |
|
234 |
231 |
$0.00 |
| 91307 |
|
69 |
62 |
$0.00 |
| 3074F |
|
128 |
128 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |