| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,257 |
3,767 |
$9K |
| 0001A |
|
54 |
54 |
$2K |
| G9920 |
Screening performed and negative |
1,118 |
1,112 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
451 |
450 |
$1K |
| 91322 |
|
32 |
32 |
$1K |
| 0071A |
|
28 |
28 |
$1K |
| 0002A |
|
28 |
28 |
$1K |
| 90480 |
|
27 |
26 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
241 |
240 |
$938.24 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
768 |
748 |
$922.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,011 |
957 |
$868.55 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
174 |
$851.28 |
| 0124A |
|
20 |
20 |
$800.00 |
| 0072A |
|
20 |
20 |
$800.00 |
| 0004A |
|
16 |
16 |
$640.00 |
| 91321 |
|
15 |
15 |
$600.00 |
| 92551 |
|
1,139 |
1,137 |
$286.65 |
| 96127 |
|
977 |
977 |
$243.01 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$232.04 |
| 90658 |
|
1,087 |
1,081 |
$216.00 |
| 96156 |
|
222 |
222 |
$120.00 |
| 90670 |
|
13 |
13 |
$81.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
36 |
$59.16 |
| 92552 |
|
274 |
272 |
$16.52 |
| 90651 |
|
13 |
13 |
$9.00 |
| 99173 |
|
826 |
824 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
882 |
529 |
$0.00 |
| 96160 |
|
938 |
934 |
$0.00 |
| 92081 |
|
14 |
14 |
$0.00 |
| 99188 |
|
59 |
59 |
$0.00 |
| 99174 |
|
754 |
749 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
170 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
185 |
184 |
$0.00 |