| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
3,825 |
3,822 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,267 |
1,266 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,229 |
1,229 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,881 |
3,865 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
685 |
683 |
$4K |
| 90651 |
|
232 |
232 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,457 |
4,047 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
4,182 |
4,169 |
$2K |
| 99173 |
|
3,451 |
3,448 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
395 |
395 |
$1K |
| 90686 |
|
720 |
719 |
$876.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
983 |
948 |
$785.62 |
| 90734 |
|
172 |
172 |
$702.96 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
60 |
$299.80 |
| 90461 |
|
1,139 |
1,136 |
$193.92 |
| 90698 |
|
83 |
82 |
$81.00 |
| 90670 |
|
68 |
68 |
$63.00 |
| 90633 |
|
52 |
52 |
$27.00 |
| 83655 |
|
208 |
207 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
328 |
328 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 99441 |
|
41 |
24 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
271 |
269 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 96127 |
|
19 |
19 |
$0.00 |