| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
1,292 |
1,291 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
603 |
581 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,242 |
2,181 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,793 |
2,686 |
$1K |
| 99381 |
|
25 |
25 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
905 |
879 |
$615.75 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,650 |
2,592 |
$524.66 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
498 |
488 |
$329.97 |
| 90670 |
|
165 |
165 |
$197.67 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
836 |
820 |
$159.18 |
| 90723 |
|
114 |
114 |
$83.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
407 |
402 |
$77.35 |
| 90648 |
|
182 |
182 |
$11.39 |
| 99401 |
|
1,165 |
1,154 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,008 |
990 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
471 |
445 |
$0.00 |
| 3725F |
|
1,017 |
973 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
91 |
$0.00 |
| 86631 |
|
43 |
42 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
151 |
$0.00 |
| G9920 |
Screening performed and negative |
117 |
117 |
$0.00 |
| 97803 |
|
75 |
75 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
135 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 99173 |
|
267 |
267 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
70 |
$0.00 |
| 90633 |
|
45 |
45 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| 3008F |
|
482 |
480 |
$0.00 |
| 90657 |
|
121 |
121 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,765 |
1,727 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
153 |
152 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
17 |
17 |
$0.00 |
| 3353F |
|
214 |
206 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
119 |
117 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
20 |
20 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90680 |
|
56 |
56 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |