| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
355 |
353 |
$39K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
275 |
274 |
$1K |
| 92552 |
|
376 |
374 |
$953.02 |
| 90686 |
|
217 |
217 |
$862.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
750 |
742 |
$291.84 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$84.79 |
| 3078F |
|
129 |
127 |
$69.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
87 |
$55.92 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$49.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$40.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
174 |
174 |
$30.10 |
| 3008F |
|
261 |
258 |
$19.50 |
| 3074F |
|
168 |
166 |
$19.50 |
| 90688 |
|
24 |
24 |
$9.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
163 |
163 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$0.00 |