| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
3,376 |
3,342 |
$264K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,601 |
4,593 |
$260K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,514 |
4,502 |
$210K |
| 92552 |
|
11,484 |
11,459 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,210 |
2,183 |
$89K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,235 |
8,164 |
$79K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,115 |
1,109 |
$75K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,848 |
3,808 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,853 |
9,544 |
$40K |
| 99173 |
|
10,746 |
10,721 |
$29K |
| 81000 |
|
5,731 |
5,709 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
124 |
$8K |
| 99188 |
|
472 |
455 |
$7K |
| 81002 |
|
2,829 |
2,748 |
$6K |
| 99381 |
|
83 |
72 |
$6K |
| 87110 |
|
275 |
274 |
$5K |
| 90700 |
|
997 |
993 |
$4K |
| 90686 |
|
1,126 |
1,125 |
$4K |
| 90713 |
|
799 |
793 |
$3K |
| 90648 |
|
626 |
621 |
$3K |
| 81003 |
|
1,162 |
1,162 |
$3K |
| 90670 |
|
552 |
548 |
$3K |
| 80061 |
Lipid panel |
131 |
131 |
$1K |
| 90480 |
|
31 |
31 |
$1K |
| 90680 |
|
124 |
123 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
49 |
$851.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
51 |
51 |
$554.63 |
| 90744 |
|
82 |
82 |
$478.00 |
| 92551 |
|
24 |
24 |
$253.46 |
| 90649 |
|
751 |
750 |
$217.00 |
| 90707 |
|
242 |
242 |
$159.00 |
| 90734 |
|
702 |
702 |
$135.00 |
| 90677 |
|
13 |
13 |
$117.00 |
| 90716 |
|
246 |
246 |
$117.00 |
| 90715 |
|
308 |
308 |
$110.64 |
| 90620 |
|
344 |
344 |
$90.00 |
| 83026 |
|
25 |
25 |
$71.04 |
| 90633 |
|
130 |
130 |
$41.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,601 |
2,601 |
$35.83 |
| 85018 |
|
12 |
12 |
$34.61 |
| 90658 |
|
461 |
461 |
$0.00 |
| 90621 |
|
45 |
45 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
15 |
$0.00 |
| 91320 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
698 |
698 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,281 |
1,280 |
$0.00 |
| 90634 |
|
24 |
24 |
$0.00 |