| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
2,777 |
2,752 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,056 |
4,200 |
$10K |
| 90686 |
|
888 |
886 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
994 |
983 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
433 |
427 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
54 |
$954.26 |
| 90670 |
|
145 |
137 |
$877.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
771 |
767 |
$663.87 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
640 |
637 |
$505.12 |
| 97803 |
|
1,100 |
1,100 |
$465.30 |
| 90734 |
|
74 |
72 |
$413.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
678 |
678 |
$369.12 |
| 90680 |
|
44 |
38 |
$338.00 |
| 90633 |
|
53 |
52 |
$333.00 |
| 90621 |
|
41 |
41 |
$314.76 |
| 90698 |
|
76 |
72 |
$301.41 |
| 90716 |
|
49 |
49 |
$234.00 |
| 90700 |
|
69 |
68 |
$216.00 |
| 90685 |
|
15 |
15 |
$186.81 |
| 90744 |
|
28 |
25 |
$175.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
156 |
154 |
$137.76 |
| 90651 |
|
94 |
92 |
$117.00 |
| G9920 |
Screening performed and negative |
473 |
472 |
$116.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
46 |
$59.90 |
| 90648 |
|
25 |
25 |
$54.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
60 |
59 |
$29.38 |
| G9919 |
Screening performed and positive and provision of recommendations |
68 |
68 |
$29.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,995 |
1,935 |
$5.42 |
| 99173 |
|
680 |
672 |
$5.00 |
| 86580 |
|
135 |
135 |
$3.33 |
| 96160 |
|
284 |
284 |
$0.00 |
| 3725F |
|
111 |
111 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$0.00 |
| 90713 |
|
13 |
12 |
$0.00 |
| 83655 |
|
15 |
15 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 3008F |
|
697 |
659 |
$0.00 |
| 1036F |
|
1,582 |
1,580 |
$0.00 |
| 3351F |
|
76 |
76 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
190 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
167 |
167 |
$0.00 |
| 3074F |
|
24 |
24 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
114 |
114 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
57 |
56 |
$0.00 |
| 3352F |
|
16 |
16 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 96161 |
|
41 |
41 |
$0.00 |