| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92081 |
|
2,984 |
2,973 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,894 |
1,855 |
$41K |
| 99429 |
|
892 |
891 |
$22K |
| 99188 |
|
1,363 |
1,363 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,083 |
1,065 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
855 |
842 |
$16K |
| 90686 |
|
1,321 |
1,320 |
$15K |
| 3008F |
|
520 |
519 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
470 |
470 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
341 |
337 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
933 |
877 |
$8K |
| 90688 |
|
426 |
426 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,368 |
3,087 |
$5K |
| 90670 |
|
377 |
377 |
$4K |
| 92552 |
|
2,943 |
2,936 |
$4K |
| 90648 |
|
324 |
324 |
$4K |
| 90685 |
|
259 |
259 |
$3K |
| 3016F |
|
117 |
117 |
$3K |
| 90651 |
|
255 |
255 |
$3K |
| 90716 |
|
211 |
211 |
$2K |
| 90723 |
|
164 |
164 |
$2K |
| 90707 |
|
162 |
162 |
$2K |
| 90680 |
|
145 |
145 |
$2K |
| 90633 |
|
127 |
127 |
$1K |
| 90734 |
|
119 |
119 |
$1K |
| 90700 |
|
112 |
112 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
30 |
$900.00 |
| 3725F |
|
162 |
162 |
$810.00 |
| 90715 |
|
51 |
51 |
$564.57 |
| 81002 |
|
260 |
252 |
$192.72 |
| 90461 |
|
94 |
93 |
$0.00 |