| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,112 |
1,035 |
$17K |
| 90670 |
|
729 |
682 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
527 |
499 |
$14K |
| 99401 |
|
3,524 |
3,265 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
535 |
501 |
$5K |
| 96111 |
|
1,074 |
837 |
$4K |
| 97802 |
|
3,511 |
3,248 |
$4K |
| 99173 |
|
1,511 |
1,396 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,213 |
3,928 |
$4K |
| 80061 |
Lipid panel |
1,982 |
1,854 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
228 |
212 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
3,538 |
3,277 |
$2K |
| 90651 |
|
73 |
73 |
$2K |
| 96150 |
|
3,128 |
2,869 |
$2K |
| 92551 |
|
1,522 |
1,406 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,534 |
3,273 |
$1K |
| H0049 |
Alcohol and/or drug screening |
474 |
444 |
$1K |
| 90648 |
|
728 |
681 |
$844.88 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
66 |
$737.80 |
| 90686 |
|
669 |
646 |
$469.91 |
| 99385 |
|
65 |
65 |
$250.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
275 |
269 |
$164.80 |
| 90723 |
|
364 |
347 |
$163.27 |
| 96112 |
|
2,528 |
2,503 |
$118.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$79.56 |
| 90633 |
|
227 |
208 |
$27.27 |
| 90685 |
|
189 |
186 |
$9.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| G9920 |
Screening performed and negative |
165 |
165 |
$0.00 |
| 83655 |
|
116 |
116 |
$0.00 |
| 90710 |
|
28 |
28 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90680 |
|
167 |
154 |
$0.00 |
| 96156 |
|
472 |
470 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |