| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,272 |
4,268 |
$106K |
| G9920 |
Screening performed and negative |
6,399 |
6,381 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,395 |
2,394 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,718 |
3,688 |
$84K |
| 92551 |
|
9,701 |
9,681 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,214 |
1,183 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,006 |
5,558 |
$30K |
| 97802 |
|
6,151 |
6,147 |
$25K |
| 90700 |
|
3,428 |
3,266 |
$18K |
| 90670 |
|
1,820 |
1,685 |
$15K |
| 90688 |
|
3,180 |
3,147 |
$14K |
| 92081 |
|
7,842 |
7,823 |
$14K |
| 90713 |
|
2,246 |
2,139 |
$14K |
| 90648 |
|
2,056 |
1,915 |
$12K |
| 90680 |
|
605 |
527 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
166 |
166 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,614 |
1,551 |
$7K |
| 90651 |
|
707 |
673 |
$6K |
| 90716 |
|
677 |
641 |
$5K |
| 90707 |
|
679 |
643 |
$5K |
| 90633 |
|
595 |
562 |
$4K |
| 90685 |
|
604 |
570 |
$4K |
| 90715 |
|
296 |
294 |
$2K |
| 90734 |
|
197 |
194 |
$1K |
| 90619 |
|
239 |
239 |
$1K |
| 90671 |
|
183 |
182 |
$1K |
| 90744 |
|
149 |
139 |
$1K |
| 0002A |
|
127 |
97 |
$1K |
| 99381 |
|
15 |
13 |
$968.44 |
| 0001A |
|
105 |
88 |
$869.60 |
| 90660 |
|
136 |
136 |
$719.28 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$705.64 |
| 90621 |
|
41 |
41 |
$369.00 |
| 90658 |
|
34 |
34 |
$297.00 |
| 90686 |
|
65 |
65 |
$288.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,488 |
12,085 |
$259.73 |
| 99215 |
Prolong outpt/office vis |
66 |
64 |
$137.79 |
| 86580 |
|
14 |
13 |
$43.29 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,221 |
5,962 |
$27.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,646 |
1,623 |
$21.18 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,452 |
1,428 |
$0.00 |
| 99173 |
|
243 |
242 |
$0.00 |
| 90473 |
|
88 |
88 |
$0.00 |
| 90474 |
|
353 |
345 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
120 |
120 |
$0.00 |