| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,705 |
4,633 |
$209K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,513 |
1,508 |
$48K |
| 92552 |
|
3,044 |
2,998 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,140 |
1,139 |
$37K |
| 92081 |
|
2,522 |
2,502 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
570 |
546 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
328 |
328 |
$13K |
| 90686 |
|
1,007 |
1,000 |
$8K |
| 90697 |
|
86 |
85 |
$5K |
| 90670 |
|
611 |
609 |
$5K |
| 90672 |
|
197 |
196 |
$2K |
| 90633 |
|
180 |
180 |
$1K |
| 90698 |
|
175 |
174 |
$1K |
| 90651 |
|
138 |
137 |
$1K |
| 90680 |
|
136 |
134 |
$1K |
| 90744 |
|
121 |
121 |
$1K |
| 90685 |
|
117 |
116 |
$897.75 |
| 90716 |
|
72 |
72 |
$529.20 |
| 90700 |
|
59 |
59 |
$476.16 |
| 90734 |
|
34 |
34 |
$440.92 |
| 90707 |
|
54 |
54 |
$416.64 |
| 90710 |
|
32 |
32 |
$257.92 |
| 96127 |
|
83 |
83 |
$222.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,840 |
2,560 |
$151.70 |
| 90648 |
|
17 |
17 |
$151.20 |
| 90715 |
|
14 |
14 |
$128.96 |
| 90713 |
|
13 |
12 |
$113.40 |
| 69210 |
|
486 |
474 |
$0.00 |
| G9920 |
Screening performed and negative |
890 |
884 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
64 |
60 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$0.00 |
| 97802 |
|
87 |
87 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
49 |
45 |
$0.00 |