| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,074 |
16,885 |
$2.03M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
199 |
158 |
$139.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,976 |
10,546 |
$130.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,832 |
1,360 |
$126.35 |
| 90677 |
|
15 |
12 |
$110.64 |
| 1160F |
|
4,526 |
3,277 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,913 |
1,133 |
$0.00 |
| 1159F |
|
4,534 |
3,285 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
7,568 |
5,511 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
317 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
501 |
470 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
665 |
570 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
573 |
469 |
$0.00 |
| 90633 |
|
61 |
56 |
$0.00 |
| 4274F |
|
811 |
559 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
502 |
152 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
319 |
290 |
$0.00 |
| 90461 |
|
322 |
285 |
$0.00 |
| 90734 |
|
107 |
84 |
$0.00 |
| 90670 |
|
41 |
39 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
305 |
248 |
$0.00 |
| 90715 |
|
87 |
70 |
$0.00 |
| 90710 |
|
29 |
26 |
$0.00 |
| 81003 |
|
18 |
15 |
$0.00 |
| 4004F |
|
30 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
28 |
27 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
5,795 |
4,175 |
$0.00 |
| 90651 |
|
127 |
95 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
467 |
388 |
$0.00 |
| 90656 |
|
13 |
12 |
$0.00 |
| 90647 |
|
13 |
12 |
$0.00 |
| 3014F |
|
188 |
166 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
44 |
44 |
$0.00 |
| 90686 |
|
50 |
47 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
27 |
$0.00 |