| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,817 |
3,443 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,049 |
954 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
678 |
627 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
211 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
143 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
457 |
430 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
196 |
187 |
$261.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
38 |
$208.99 |
| 90461 |
|
92 |
83 |
$140.36 |
| 92551 |
|
171 |
168 |
$49.52 |
| 96127 |
|
526 |
481 |
$47.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,078 |
974 |
$27.54 |
| 96161 |
|
75 |
73 |
$21.67 |
| 90686 |
|
288 |
273 |
$19.06 |
| 99173 |
|
170 |
167 |
$18.45 |
| 90698 |
|
32 |
24 |
$0.01 |
| G9459 |
Currently a tobacco non-user |
113 |
106 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
442 |
410 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
368 |
332 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |
| 90688 |
|
53 |
50 |
$0.00 |
| 90651 |
|
121 |
104 |
$0.00 |
| 90707 |
|
288 |
259 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |
| 90658 |
|
321 |
286 |
$0.00 |
| 90670 |
|
32 |
24 |
$0.00 |
| 90685 |
|
17 |
15 |
$0.00 |