| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,555 |
3,506 |
$183K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,775 |
4,690 |
$114K |
| G9920 |
Screening performed and negative |
6,675 |
6,653 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,776 |
3,761 |
$79K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,818 |
3,176 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,459 |
2,452 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,622 |
6,406 |
$53K |
| 96156 |
|
1,918 |
1,869 |
$47K |
| 99381 |
|
417 |
391 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,374 |
4,333 |
$38K |
| 92551 |
|
5,132 |
5,123 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,595 |
3,470 |
$19K |
| 90686 |
|
5,277 |
5,244 |
$18K |
| 99460 |
|
512 |
510 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
706 |
686 |
$11K |
| 90670 |
|
2,346 |
2,331 |
$11K |
| 90697 |
|
171 |
171 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,908 |
2,839 |
$8K |
| 90698 |
|
1,646 |
1,642 |
$7K |
| 90680 |
|
1,518 |
1,517 |
$7K |
| 96150 |
|
768 |
765 |
$4K |
| 90744 |
|
836 |
835 |
$4K |
| 99173 |
|
4,161 |
4,158 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
119 |
119 |
$2K |
| 90651 |
|
554 |
548 |
$2K |
| 90685 |
|
242 |
224 |
$2K |
| 90633 |
|
672 |
666 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
188 |
188 |
$2K |
| 90677 |
|
326 |
326 |
$1K |
| 90716 |
|
573 |
571 |
$1K |
| 90700 |
|
473 |
471 |
$1K |
| 90707 |
|
510 |
507 |
$927.00 |
| 97803 |
|
2,708 |
2,706 |
$749.48 |
| 97802 |
|
111 |
111 |
$450.75 |
| 90648 |
|
106 |
106 |
$387.00 |
| 90713 |
|
128 |
128 |
$360.00 |
| 90620 |
|
118 |
117 |
$339.16 |
| 99401 |
|
4,775 |
4,760 |
$305.10 |
| 90734 |
|
264 |
262 |
$198.00 |
| 99188 |
|
37 |
37 |
$180.00 |
| 90461 |
|
550 |
486 |
$161.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
42 |
42 |
$119.98 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$118.44 |
| 90619 |
|
26 |
26 |
$81.00 |
| 90715 |
|
42 |
42 |
$61.50 |
| 96127 |
|
256 |
256 |
$28.56 |
| 90621 |
|
13 |
13 |
$9.00 |
| 96161 |
|
244 |
242 |
$1.41 |
| 99402 |
|
76 |
76 |
$0.00 |
| 99441 |
|
109 |
108 |
$0.00 |
| 90674 |
|
25 |
25 |
$0.00 |
| 91321 |
|
32 |
32 |
$0.00 |
| 91320 |
|
13 |
13 |
$0.00 |