| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,357 |
2,993 |
$174K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,474 |
4,038 |
$169K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,487 |
1,451 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,622 |
1,458 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
367 |
364 |
$22K |
| G9002 |
Coordinated care fee, maintenance rate |
287 |
267 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
103 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
76 |
74 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
115 |
$5K |
| 99215 |
Prolong outpt/office vis |
63 |
60 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
247 |
200 |
$4K |
| 92551 |
|
989 |
973 |
$4K |
| 99406 |
|
419 |
363 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
141 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
81 |
73 |
$2K |
| 99307 |
|
148 |
118 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
248 |
239 |
$852.66 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
81 |
80 |
$835.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,185 |
1,176 |
$652.17 |
| 98966 |
|
92 |
89 |
$500.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
73 |
$475.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
681 |
679 |
$407.38 |
| 99173 |
|
1,081 |
1,074 |
$200.30 |
| 99441 |
|
18 |
17 |
$107.36 |
| 99442 |
|
13 |
12 |
$75.46 |
| 96161 |
|
60 |
57 |
$4.36 |
| 3008F |
|
241 |
224 |
$0.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,514 |
1,300 |
$0.00 |
| 3078F |
|
166 |
154 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
134 |
124 |
$0.00 |
| 90670 |
|
128 |
128 |
$0.00 |
| 3288F |
|
37 |
31 |
$0.00 |
| 90461 |
|
37 |
37 |
$0.00 |
| 3077F |
|
40 |
37 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 4000F |
|
223 |
194 |
$0.00 |
| 3075F |
|
100 |
96 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
71 |
68 |
$0.00 |
| 3079F |
|
148 |
142 |
$0.00 |
| 90698 |
|
37 |
37 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,203 |
1,123 |
$0.00 |
| 3074F |
|
191 |
179 |
$0.00 |
| 90686 |
|
233 |
233 |
$0.00 |
| 99024 |
|
14 |
13 |
$0.00 |
| 4086F |
|
13 |
12 |
$0.00 |
| 3080F |
|
15 |
13 |
$0.00 |