| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,860 |
1,857 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,211 |
1,211 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
972 |
972 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,056 |
3,772 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,624 |
1,254 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
522 |
522 |
$18K |
| 92552 |
|
1,657 |
1,654 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
173 |
$9K |
| 99173 |
|
1,346 |
1,346 |
$4K |
| 85018 |
|
1,743 |
1,722 |
$3K |
| 81002 |
|
559 |
559 |
$1K |
| 90670 |
|
354 |
352 |
$1K |
| 90648 |
|
335 |
333 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112 |
108 |
$1K |
| G9920 |
Screening performed and negative |
451 |
451 |
$1K |
| 90686 |
|
345 |
345 |
$1K |
| 92551 |
|
590 |
590 |
$831.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
347 |
330 |
$782.04 |
| 90700 |
|
247 |
247 |
$630.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
36 |
$553.00 |
| 90685 |
|
36 |
29 |
$517.27 |
| 90680 |
|
95 |
95 |
$460.00 |
| 81000 |
|
481 |
479 |
$453.08 |
| 90633 |
|
116 |
116 |
$414.00 |
| 90723 |
|
49 |
49 |
$271.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$248.60 |
| 90716 |
|
96 |
96 |
$216.00 |
| 90707 |
|
73 |
73 |
$189.00 |
| 90651 |
|
65 |
65 |
$168.09 |
| 92060 |
|
176 |
176 |
$113.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$85.70 |
| 90713 |
|
40 |
40 |
$81.00 |
| 90715 |
|
34 |
34 |
$72.00 |
| 90734 |
|
46 |
46 |
$72.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
119 |
$12.09 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
14 |
12 |
$10.76 |
| 96127 |
|
91 |
91 |
$4.11 |
| 90657 |
|
21 |
21 |
$0.00 |
| 99441 |
|
67 |
66 |
$0.00 |
| 99177 |
|
426 |
426 |
$0.00 |
| 90461 |
|
274 |
223 |
$0.00 |