| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,103 |
1,904 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
204 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
356 |
$9K |
| G9920 |
Screening performed and negative |
487 |
486 |
$8K |
| 92552 |
|
745 |
742 |
$6K |
| 90670 |
|
105 |
105 |
$5K |
| 90698 |
|
77 |
77 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
57 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
116 |
$1K |
| 90633 |
|
24 |
24 |
$1K |
| 90680 |
|
46 |
46 |
$1K |
| 85018 |
|
712 |
701 |
$1K |
| 90686 |
|
58 |
58 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
58 |
$853.52 |
| 0001A |
|
19 |
19 |
$760.00 |
| 90744 |
|
34 |
34 |
$694.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$560.00 |
| 81003 |
|
530 |
517 |
$534.03 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
208 |
206 |
$500.00 |
| 90685 |
|
13 |
13 |
$255.58 |
| 99173 |
|
15 |
15 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
12 |
12 |
$0.00 |