| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
985 |
687 |
$70K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
700 |
694 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,039 |
1,853 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
165 |
165 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
154 |
150 |
$7K |
| 90686 |
|
555 |
554 |
$5K |
| 96150 |
|
187 |
187 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
65 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$3K |
| 96151 |
|
128 |
128 |
$3K |
| 90670 |
|
83 |
82 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
571 |
553 |
$1K |
| 90698 |
|
51 |
50 |
$396.00 |
| 92552 |
|
12 |
12 |
$236.88 |
| 94760 |
|
503 |
463 |
$187.30 |
| 90658 |
|
20 |
20 |
$180.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
50 |
50 |
$139.50 |
| 99000 |
|
76 |
75 |
$99.83 |
| 99406 |
|
238 |
238 |
$99.64 |
| 90680 |
|
12 |
12 |
$99.00 |
| 96127 |
|
86 |
84 |
$64.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
83 |
$52.36 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$10.70 |
| 99070 |
|
78 |
72 |
$2.94 |
| E0700 |
Safety equipment, device or accessory, any type |
294 |
263 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
135 |
$0.00 |
| 99173 |
|
46 |
46 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
874 |
864 |
$0.00 |
| 99072 |
|
419 |
401 |
$0.00 |
| 90461 |
|
248 |
245 |
$0.00 |
| 96160 |
|
17 |
17 |
$0.00 |