| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92081 |
|
1,316 |
1,316 |
$0.00 |
| 4004F |
|
520 |
520 |
$0.00 |
| 97803 |
|
1,415 |
1,415 |
$0.00 |
| 90734 |
|
62 |
62 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
714 |
713 |
$0.00 |
| G9920 |
Screening performed and negative |
1,587 |
1,587 |
$0.00 |
| 90707 |
|
36 |
36 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
200 |
$0.00 |
| 90648 |
|
77 |
77 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
169 |
169 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
309 |
309 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
547 |
547 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
155 |
151 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
39 |
$0.00 |
| 99173 |
|
56 |
56 |
$0.00 |
| 90670 |
|
93 |
93 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
72 |
$0.00 |
| 0071A |
|
13 |
12 |
$0.00 |
| 3008F |
|
1,440 |
1,440 |
$0.00 |
| 92551 |
|
1,337 |
1,337 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,790 |
4,032 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,659 |
2,317 |
$0.00 |
| 90651 |
|
166 |
166 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
546 |
546 |
$0.00 |
| 90686 |
|
522 |
521 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,453 |
1,453 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
78 |
78 |
$0.00 |
| 96127 |
|
387 |
387 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
123 |
123 |
$0.00 |
| 91307 |
|
38 |
37 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
89 |
89 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
61 |
61 |
$0.00 |
| 90723 |
|
40 |
40 |
$0.00 |