| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
1,040 |
1,031 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
193 |
192 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,514 |
1,415 |
$12K |
| 99460 |
|
338 |
336 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
319 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
340 |
338 |
$9K |
| 92552 |
|
1,090 |
1,086 |
$9K |
| 96156 |
|
408 |
402 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
268 |
265 |
$7K |
| 99462 |
|
313 |
234 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
251 |
250 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,879 |
1,164 |
$5K |
| 97803 |
|
301 |
300 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
96 |
96 |
$2K |
| 90688 |
|
370 |
369 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
95 |
91 |
$1K |
| 92551 |
|
204 |
204 |
$1K |
| 99188 |
|
349 |
342 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$881.27 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254 |
248 |
$416.76 |
| 99173 |
|
545 |
541 |
$351.31 |
| 90744 |
|
52 |
51 |
$333.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
62 |
62 |
$325.66 |
| 90670 |
|
40 |
40 |
$246.00 |
| 90698 |
|
40 |
40 |
$153.00 |
| 90700 |
|
12 |
12 |
$108.00 |
| 90680 |
|
28 |
27 |
$108.00 |
| 92081 |
|
154 |
152 |
$98.00 |
| 90648 |
|
31 |
29 |
$90.00 |
| 96127 |
|
258 |
256 |
$71.70 |
| 90671 |
|
17 |
17 |
$36.00 |
| 90677 |
|
13 |
12 |
$36.00 |
| 90633 |
|
12 |
12 |
$27.00 |
| 90619 |
|
13 |
13 |
$9.00 |
| 90650 |
|
12 |
12 |
$9.00 |
| 90461 |
|
166 |
161 |
$0.00 |
| 99442 |
|
152 |
149 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
36 |
36 |
$0.00 |
| 97802 |
|
91 |
91 |
$0.00 |