| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,048 |
993 |
$110K |
| 96151 |
|
550 |
427 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
153 |
$7K |
| 92551 |
|
596 |
508 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
355 |
280 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
81 |
$4K |
| 97802 |
|
143 |
134 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
41 |
$2K |
| 85018 |
|
778 |
671 |
$1K |
| 90658 |
|
140 |
128 |
$1K |
| 97803 |
|
110 |
104 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
16 |
$918.13 |
| G9920 |
Screening performed and negative |
528 |
503 |
$724.42 |
| 83655 |
|
30 |
30 |
$673.50 |
| 81005 |
|
438 |
373 |
$661.92 |
| 90670 |
|
55 |
54 |
$486.00 |
| 90698 |
|
26 |
26 |
$234.00 |
| 99462 |
|
21 |
12 |
$162.55 |
| 90649 |
|
16 |
16 |
$144.00 |
| 99173 |
|
378 |
351 |
$78.54 |
| 85999 |
|
26 |
26 |
$78.26 |
| 81000 |
|
25 |
25 |
$71.75 |
| 90657 |
|
12 |
12 |
$63.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$13.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$10.21 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |