| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
891 |
863 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
411 |
408 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
384 |
384 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
364 |
356 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,238 |
1,211 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
528 |
502 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
86 |
$7K |
| 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 |
784 |
784 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
753 |
753 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
55 |
$829.38 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
436 |
436 |
$570.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
200 |
200 |
$265.00 |
| 96127 |
|
31 |
31 |
$92.17 |
| G9002 |
Coordinated care fee, maintenance rate |
360 |
348 |
$0.18 |
| G9007 |
Coordinated care fee, scheduled team conference |
43 |
39 |
$0.02 |
| 90670 |
|
105 |
105 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90686 |
|
86 |
86 |
$0.00 |
| 90698 |
|
60 |
60 |
$0.00 |
| 1111F |
|
2,082 |
1,947 |
$0.00 |
| 4037F |
|
41 |
41 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |