| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,012 |
8,083 |
$167K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,979 |
1,814 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,629 |
1,546 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,962 |
1,901 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,469 |
1,416 |
$50K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,317 |
1,249 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,524 |
4,337 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
751 |
708 |
$26K |
| 99441 |
|
1,028 |
968 |
$7K |
| 90461 |
|
2,111 |
1,991 |
$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) |
531 |
494 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
26 |
$759.11 |
| 99381 |
|
28 |
26 |
$720.00 |
| 99072 |
|
104 |
103 |
$319.97 |
| 86580 |
|
154 |
147 |
$273.19 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,826 |
1,770 |
$230.58 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
17 |
$97.68 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
27 |
26 |
$31.44 |
| S9470 |
Nutritional counseling, dietitian visit |
8,421 |
7,839 |
$20.96 |
| 99173 |
|
118 |
114 |
$7.23 |
| 90686 |
|
933 |
891 |
$4.00 |
| 90670 |
|
1,086 |
1,031 |
$0.00 |
| 90710 |
|
134 |
123 |
$0.00 |
| 90633 |
|
495 |
458 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,024 |
962 |
$0.00 |
| 90715 |
|
39 |
38 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90648 |
|
29 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,371 |
3,135 |
$0.00 |
| 90733 |
|
124 |
116 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
420 |
385 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,159 |
1,997 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
8,699 |
8,091 |
$0.00 |
| 90619 |
|
87 |
83 |
$0.00 |
| 90698 |
|
457 |
424 |
$0.00 |
| 90651 |
|
440 |
418 |
$0.00 |
| 90744 |
|
231 |
218 |
$0.00 |
| 90680 |
|
490 |
458 |
$0.00 |
| 90656 |
|
121 |
119 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
13 |
12 |
$0.00 |