| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,642 |
3,386 |
$84K |
| 96156 |
|
2,262 |
2,253 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
374 |
369 |
$24K |
| G9920 |
Screening performed and negative |
1,939 |
1,922 |
$14K |
| 97802 |
|
1,717 |
1,627 |
$9K |
| 0071A |
|
139 |
139 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
205 |
205 |
$5K |
| 0072A |
|
103 |
103 |
$4K |
| 92551 |
|
759 |
757 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
390 |
373 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
93 |
$3K |
| D1206 |
Topical application of fluoride varnish |
213 |
210 |
$3K |
| 90670 |
|
288 |
286 |
$2K |
| 0001A |
|
42 |
42 |
$2K |
| 0002A |
|
41 |
41 |
$2K |
| 92552 |
|
87 |
87 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$967.86 |
| 97803 |
|
28 |
28 |
$723.80 |
| 90698 |
|
97 |
97 |
$705.60 |
| 90686 |
|
119 |
119 |
$677.24 |
| 99460 |
|
13 |
13 |
$662.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
111 |
106 |
$660.64 |
| 90697 |
|
63 |
61 |
$545.73 |
| 90680 |
|
56 |
54 |
$377.73 |
| 90744 |
|
41 |
41 |
$318.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$209.30 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$108.56 |
| 99000 |
|
13 |
13 |
$17.95 |
| 4004F |
|
85 |
84 |
$0.00 |
| 1003F |
|
496 |
495 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
108 |
102 |
$0.00 |
| 1000F |
|
413 |
413 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
93 |
91 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
70 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |