| Code | Description | Claims | Beneficiaries | Total Paid |
| G9920 |
Screening performed and negative |
2,701 |
2,694 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,651 |
1,641 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,117 |
2,114 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,205 |
2,196 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,587 |
8,507 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
872 |
868 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,089 |
4,674 |
$9K |
| 97802 |
|
7,724 |
7,694 |
$6K |
| 92551 |
|
4,836 |
4,817 |
$4K |
| 85018 |
|
6,904 |
6,844 |
$4K |
| 90686 |
|
3,904 |
3,891 |
$3K |
| 99401 |
|
8,259 |
8,223 |
$3K |
| 0071A |
|
76 |
76 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
8,227 |
8,195 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,653 |
5,632 |
$2K |
| 81002 |
|
4,511 |
4,481 |
$2K |
| 0072A |
|
56 |
56 |
$2K |
| 99173 |
|
4,876 |
4,859 |
$2K |
| 97803 |
|
685 |
683 |
$2K |
| 86580 |
|
1,805 |
1,782 |
$1K |
| 99188 |
|
2,209 |
2,202 |
$1K |
| 90651 |
|
1,128 |
1,121 |
$1K |
| 99381 |
|
14 |
14 |
$960.00 |
| 90670 |
|
888 |
882 |
$868.72 |
| 90620 |
|
432 |
428 |
$815.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
43 |
$810.00 |
| 90648 |
|
901 |
893 |
$807.55 |
| 90633 |
|
626 |
623 |
$659.78 |
| 99383 |
|
27 |
27 |
$656.40 |
| G9919 |
Screening performed and positive and provision of recommendations |
203 |
202 |
$638.00 |
| 90723 |
|
606 |
604 |
$575.58 |
| 90734 |
|
575 |
571 |
$550.56 |
| 90671 |
|
98 |
98 |
$342.00 |
| 90697 |
|
74 |
74 |
$325.00 |
| 90710 |
|
233 |
233 |
$286.66 |
| 90680 |
|
403 |
401 |
$278.86 |
| 90685 |
|
56 |
56 |
$237.83 |
| 96127 |
|
180 |
180 |
$236.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
39 |
$230.00 |
| 90715 |
|
131 |
131 |
$169.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
94 |
$150.00 |
| 90700 |
|
137 |
136 |
$87.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
399 |
398 |
$77.45 |
| 90681 |
|
12 |
12 |
$63.00 |
| 90619 |
|
21 |
21 |
$27.00 |
| 90656 |
|
97 |
97 |
$19.00 |
| 99000 |
|
36 |
36 |
$0.05 |
| 69210 |
|
185 |
179 |
$0.00 |
| 90707 |
|
102 |
102 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$0.00 |
| 90696 |
|
190 |
190 |
$0.00 |
| 90716 |
|
108 |
107 |
$0.00 |