| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,376 |
4,369 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,510 |
4,494 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,370 |
2,353 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,401 |
18,632 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,727 |
4,656 |
$42K |
| 92551 |
|
9,032 |
9,020 |
$33K |
| 92552 |
|
2,944 |
2,942 |
$31K |
| 90686 |
|
4,838 |
4,830 |
$27K |
| G9920 |
Screening performed and negative |
2,850 |
2,845 |
$26K |
| 85018 |
|
13,742 |
13,558 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
415 |
396 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,258 |
1,297 |
$19K |
| 86580 |
|
1,977 |
1,977 |
$14K |
| 0124A |
|
321 |
321 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
537 |
537 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
516 |
507 |
$9K |
| 90480 |
|
225 |
223 |
$9K |
| 99173 |
|
2,931 |
2,929 |
$8K |
| 92081 |
|
3,634 |
3,629 |
$6K |
| 90656 |
|
1,558 |
1,556 |
$6K |
| 90648 |
|
794 |
792 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
388 |
355 |
$5K |
| 90651 |
|
1,289 |
1,288 |
$5K |
| 90734 |
|
1,091 |
1,090 |
$4K |
| 90670 |
|
724 |
723 |
$4K |
| 90685 |
|
666 |
663 |
$4K |
| 99172 |
|
3,888 |
3,886 |
$3K |
| 90700 |
|
568 |
567 |
$3K |
| 0054A |
|
66 |
65 |
$3K |
| 90621 |
|
783 |
783 |
$2K |
| 90716 |
|
427 |
427 |
$2K |
| 81002 |
|
1,895 |
1,874 |
$2K |
| 99188 |
|
1,416 |
1,411 |
$2K |
| 90707 |
|
426 |
426 |
$2K |
| 90633 |
|
352 |
352 |
$2K |
| 90713 |
|
338 |
338 |
$2K |
| 90715 |
|
319 |
318 |
$2K |
| 90680 |
|
220 |
219 |
$1K |
| 90688 |
|
195 |
195 |
$1K |
| 0073A |
|
33 |
33 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,767 |
1,767 |
$1K |
| 0071A |
|
34 |
32 |
$1K |
| 0154A |
|
32 |
32 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
887 |
887 |
$1K |
| 90723 |
|
88 |
88 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
102 |
$717.04 |
| 96156 |
|
87 |
87 |
$632.67 |
| 0072A |
|
15 |
15 |
$600.00 |
| 83655 |
|
25 |
25 |
$100.92 |
| 91320 |
|
116 |
112 |
$80.00 |
| 99406 |
|
69 |
69 |
$49.18 |
| 90674 |
|
26 |
25 |
$36.00 |
| 90655 |
|
14 |
14 |
$9.00 |
| 90677 |
|
17 |
17 |
$9.00 |
| 99421 |
|
63 |
61 |
$0.00 |
| 99442 |
|
91 |
89 |
$0.00 |
| 91319 |
|
74 |
73 |
$0.00 |