| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
156 |
155 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
374 |
354 |
$314.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
151 |
151 |
$254.39 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
308 |
308 |
$89.04 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$49.90 |
| H0049 |
Alcohol and/or drug screening |
55 |
55 |
$48.00 |
| 92551 |
|
191 |
191 |
$45.46 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
102 |
$43.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
311 |
309 |
$40.00 |
| 99401 |
|
314 |
314 |
$12.94 |
| 90651 |
|
14 |
14 |
$5.00 |
| 90648 |
|
29 |
29 |
$4.00 |
| 90700 |
|
48 |
48 |
$4.00 |
| 90670 |
|
28 |
28 |
$4.00 |
| 90713 |
|
27 |
27 |
$4.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
307 |
307 |
$0.00 |
| 96156 |
|
247 |
247 |
$0.00 |
| 97802 |
|
315 |
315 |
$0.00 |
| 94760 |
|
251 |
251 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$0.00 |