| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92587 |
|
4,740 |
4,724 |
$127K |
| 99188 |
|
1,993 |
1,982 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,744 |
7,348 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
634 |
612 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,260 |
2,219 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,127 |
2,044 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,508 |
4,491 |
$740.64 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,198 |
1,195 |
$618.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,864 |
1,861 |
$590.87 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,954 |
1,936 |
$549.51 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
69 |
$500.49 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,154 |
1,132 |
$297.77 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
769 |
726 |
$296.70 |
| 90686 |
|
374 |
373 |
$266.49 |
| 90698 |
|
119 |
119 |
$162.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
52 |
$148.20 |
| G9920 |
Screening performed and negative |
4,335 |
4,309 |
$86.13 |
| 90670 |
|
156 |
156 |
$63.00 |
| 90744 |
|
29 |
29 |
$63.00 |
| 90680 |
|
45 |
45 |
$54.00 |
| 99406 |
|
685 |
682 |
$52.58 |
| 99177 |
|
887 |
880 |
$41.58 |
| 90633 |
|
64 |
64 |
$36.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
165 |
163 |
$35.20 |
| 83655 |
|
205 |
205 |
$23.14 |
| 90651 |
|
19 |
18 |
$18.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
333 |
333 |
$14.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
712 |
702 |
$0.00 |
| 90461 |
|
467 |
462 |
$0.00 |
| 99408 |
|
212 |
212 |
$0.00 |
| 96160 |
|
414 |
411 |
$0.00 |
| 81002 |
|
14 |
14 |
$0.00 |
| 80061 |
Lipid panel |
13 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
16 |
$0.00 |
| 0071A |
|
14 |
14 |
$0.00 |
| 85018 |
|
56 |
56 |
$0.00 |
| 99441 |
|
148 |
142 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
66 |
66 |
$0.00 |
| 91307 |
|
33 |
33 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
116 |
116 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
132 |
131 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
262 |
$0.00 |
| 97802 |
|
129 |
128 |
$0.00 |
| 99000 |
|
30 |
29 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |