| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,266 |
6,945 |
$367K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,042 |
9,444 |
$360K |
| T1001 |
Nursing assessment / evaluation |
127 |
124 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
609 |
245 |
$21K |
| 90686 |
|
1,724 |
1,721 |
$18K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
105 |
103 |
$8K |
| 90715 |
|
497 |
495 |
$8K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
194 |
154 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
74 |
$6K |
| 90651 |
|
388 |
386 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
83 |
$5K |
| 90670 |
|
576 |
576 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
101 |
100 |
$4K |
| 0002A |
|
83 |
83 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
39 |
39 |
$3K |
| 92551 |
|
414 |
403 |
$3K |
| 90647 |
|
428 |
428 |
$3K |
| 90723 |
|
431 |
431 |
$3K |
| G9012 |
Other specified case management service not elsewhere classified |
15 |
15 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
63 |
61 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
557 |
494 |
$2K |
| 0001A |
|
54 |
50 |
$2K |
| 90633 |
|
317 |
317 |
$2K |
| 99173 |
|
413 |
402 |
$2K |
| 90734 |
|
342 |
342 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$2K |
| 90680 |
|
346 |
346 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
63 |
$2K |
| 90656 |
|
261 |
260 |
$2K |
| 96127 |
|
288 |
282 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$986.00 |
| 90746 |
|
15 |
15 |
$878.27 |
| 0072A |
|
18 |
18 |
$748.00 |
| 90716 |
|
78 |
78 |
$729.96 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
37 |
$706.96 |
| S9470 |
Nutritional counseling, dietitian visit |
14 |
14 |
$397.50 |
| 90707 |
|
31 |
31 |
$317.40 |
| 90700 |
|
37 |
37 |
$255.00 |
| 90696 |
|
13 |
13 |
$134.00 |
| 90710 |
|
13 |
13 |
$132.00 |
| 3044F |
|
134 |
122 |
$130.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$121.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$117.48 |
| 3074F |
|
85 |
79 |
$100.00 |
| 3078F |
|
45 |
39 |
$70.00 |
| 81003 |
|
12 |
12 |
$26.97 |
| 90677 |
|
27 |
27 |
$0.00 |