| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
1,975 |
1,951 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,287 |
2,027 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,690 |
1,508 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
348 |
346 |
$3K |
| 90688 |
|
410 |
408 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
499 |
495 |
$3K |
| 90651 |
|
299 |
299 |
$2K |
| 99383 |
|
25 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
262 |
250 |
$972.48 |
| 90715 |
|
107 |
107 |
$677.58 |
| 99382 |
|
12 |
12 |
$636.58 |
| 90670 |
|
87 |
87 |
$575.37 |
| 81002 |
|
1,085 |
1,082 |
$468.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
298 |
297 |
$416.35 |
| 90734 |
|
57 |
57 |
$402.00 |
| 90686 |
|
55 |
55 |
$275.64 |
| 81000 |
|
595 |
581 |
$258.47 |
| 90633 |
|
29 |
29 |
$234.00 |
| 90744 |
|
30 |
30 |
$228.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$205.00 |
| 90698 |
|
26 |
26 |
$188.91 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
27 |
$153.04 |
| 90710 |
|
16 |
16 |
$126.00 |
| 99173 |
|
1,350 |
1,340 |
$111.68 |
| 90620 |
|
14 |
14 |
$89.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$54.05 |
| 86580 |
|
24 |
24 |
$36.27 |
| 85018 |
|
95 |
94 |
$22.55 |
| 81005 |
|
28 |
28 |
$5.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
46 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
46 |
46 |
$0.00 |
| G9920 |
Screening performed and negative |
28 |
28 |
$0.00 |