| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
5,314 |
5,309 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,456 |
3,454 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,586 |
3,585 |
$49K |
| 92552 |
|
6,021 |
6,018 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,916 |
1,913 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,690 |
17,717 |
$23K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
10,467 |
10,369 |
$12K |
| 92081 |
|
8,610 |
8,597 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,622 |
5,333 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
470 |
464 |
$8K |
| 90688 |
|
2,183 |
2,178 |
$6K |
| 90658 |
|
2,576 |
2,566 |
$6K |
| 97802 |
|
1,565 |
1,542 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
121 |
120 |
$3K |
| 96150 |
|
834 |
823 |
$3K |
| 90651 |
|
1,071 |
1,068 |
$3K |
| 85018 |
|
4,535 |
4,514 |
$2K |
| 90620 |
|
747 |
745 |
$2K |
| 90670 |
|
531 |
524 |
$2K |
| 90734 |
|
744 |
742 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,469 |
3,466 |
$1K |
| 92551 |
|
2,317 |
2,312 |
$1K |
| 90698 |
|
206 |
200 |
$1K |
| 90680 |
|
207 |
203 |
$989.48 |
| 90619 |
|
307 |
307 |
$821.52 |
| 90715 |
|
326 |
326 |
$787.94 |
| 90656 |
|
259 |
259 |
$774.00 |
| 90633 |
|
246 |
245 |
$615.58 |
| 90686 |
|
152 |
151 |
$496.80 |
| 90700 |
|
114 |
114 |
$280.60 |
| 90744 |
|
53 |
52 |
$268.20 |
| 90657 |
|
55 |
54 |
$250.20 |
| 90716 |
|
55 |
54 |
$245.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
144 |
143 |
$207.36 |
| 90707 |
|
43 |
43 |
$150.28 |
| 86580 |
|
132 |
131 |
$142.62 |
| 90655 |
|
184 |
184 |
$112.43 |
| 90648 |
|
51 |
51 |
$75.34 |
| 96151 |
|
121 |
121 |
$48.86 |
| 90649 |
|
113 |
112 |
$46.80 |
| 81000 |
|
25 |
25 |
$15.04 |
| 90461 |
|
421 |
345 |
$0.00 |
| 97803 |
|
5,702 |
5,663 |
$0.00 |
| 99442 |
|
1,623 |
1,502 |
$0.00 |
| 96160 |
|
5,555 |
5,547 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,221 |
1,931 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
79 |
$0.00 |
| 3008F |
|
6,024 |
5,982 |
$0.00 |
| 99441 |
|
532 |
515 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
680 |
678 |
$0.00 |