| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,035 |
2,034 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,029 |
2,028 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
541 |
541 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
631 |
630 |
$5K |
| G9920 |
Screening performed and negative |
1,601 |
1,600 |
$5K |
| 99401 |
|
2,048 |
2,047 |
$4K |
| 92551 |
|
1,594 |
1,593 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
483 |
483 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$926.10 |
| 96127 |
|
665 |
665 |
$730.83 |
| 85018 |
|
1,853 |
1,852 |
$621.88 |
| 86580 |
|
922 |
919 |
$562.60 |
| 81002 |
|
1,302 |
1,300 |
$531.54 |
| 90686 |
|
507 |
507 |
$441.00 |
| 99188 |
|
454 |
454 |
$431.46 |
| 99000 |
|
276 |
275 |
$7.26 |
| 99173 |
|
1,298 |
1,297 |
$2.92 |
| D0120 |
Periodic oral evaluation - established patient |
1,705 |
1,704 |
$0.00 |
| 90696 |
|
80 |
80 |
$0.00 |
| 90723 |
|
79 |
79 |
$0.00 |
| 90620 |
|
107 |
107 |
$0.00 |
| 90651 |
|
144 |
144 |
$0.00 |
| 90647 |
|
91 |
91 |
$0.00 |
| 36416 |
|
21 |
21 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 97802 |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
18 |
$0.00 |
| 97803 |
|
1,653 |
1,652 |
$0.00 |
| 90670 |
|
108 |
108 |
$0.00 |
| 90633 |
|
84 |
84 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
270 |
252 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
660 |
659 |
$0.00 |
| 90734 |
|
138 |
138 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
21 |
21 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
127 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90710 |
|
84 |
84 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |