| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
4,933 |
4,892 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,325 |
1,292 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,781 |
2,641 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,185 |
10,223 |
$9K |
| 99188 |
|
307 |
307 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,944 |
1,934 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,653 |
2,647 |
$2K |
| 90670 |
|
858 |
847 |
$2K |
| G9920 |
Screening performed and negative |
4,549 |
4,520 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,638 |
2,630 |
$2K |
| 90649 |
|
191 |
189 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,197 |
5,170 |
$1K |
| 90671 |
|
152 |
152 |
$1K |
| 90686 |
|
839 |
829 |
$1K |
| 90698 |
|
515 |
513 |
$808.29 |
| 90744 |
|
311 |
309 |
$715.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,251 |
1,222 |
$512.46 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,844 |
1,837 |
$402.78 |
| 90680 |
|
181 |
179 |
$395.46 |
| 90685 |
|
150 |
150 |
$377.82 |
| 90633 |
|
330 |
329 |
$359.64 |
| 99215 |
Prolong outpt/office vis |
186 |
183 |
$315.12 |
| 85018 |
|
4,526 |
4,499 |
$171.06 |
| 90716 |
|
52 |
52 |
$126.00 |
| 90734 |
|
109 |
109 |
$108.00 |
| 83655 |
|
263 |
263 |
$90.48 |
| 81003 |
|
3,683 |
3,617 |
$65.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,433 |
1,425 |
$57.19 |
| 90710 |
|
117 |
117 |
$44.55 |
| 90715 |
|
164 |
164 |
$43.91 |
| 90696 |
|
139 |
139 |
$35.64 |
| 90674 |
|
157 |
157 |
$26.73 |
| 90619 |
|
86 |
86 |
$8.91 |
| 90651 |
|
113 |
113 |
$8.91 |
| 90700 |
|
56 |
56 |
$8.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
122 |
$7.61 |
| 80053 |
Comprehensive metabolic panel |
17 |
17 |
$0.00 |
| 1036F |
|
696 |
695 |
$0.00 |
| 3351F |
|
78 |
78 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
155 |
152 |
$0.00 |
| 90620 |
|
33 |
33 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
58 |
57 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
101 |
101 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
920 |
906 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
106 |
106 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
33 |
$0.00 |
| 80061 |
Lipid panel |
13 |
13 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
39 |
38 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90648 |
|
38 |
38 |
$0.00 |