| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,324 |
1,322 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
517 |
515 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,101 |
1,898 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,077 |
1,068 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
587 |
584 |
$3K |
| G9920 |
Screening performed and negative |
1,920 |
1,917 |
$3K |
| 92551 |
|
2,218 |
2,205 |
$934.11 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,569 |
7,340 |
$760.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,621 |
1,619 |
$707.00 |
| 90670 |
|
888 |
875 |
$495.00 |
| 90707 |
|
690 |
680 |
$450.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
520 |
518 |
$434.00 |
| 90686 |
|
526 |
525 |
$347.49 |
| 90716 |
|
699 |
689 |
$324.00 |
| 99173 |
|
2,146 |
2,136 |
$255.28 |
| 90698 |
|
535 |
532 |
$243.00 |
| 90651 |
|
316 |
316 |
$216.00 |
| 3008F |
|
111 |
111 |
$200.00 |
| 90734 |
|
245 |
245 |
$153.00 |
| 90715 |
|
171 |
171 |
$150.00 |
| 90744 |
|
363 |
362 |
$117.00 |
| 90633 |
|
573 |
572 |
$117.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
64 |
64 |
$99.00 |
| 90680 |
|
385 |
384 |
$90.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$88.72 |
| S9470 |
Nutritional counseling, dietitian visit |
588 |
586 |
$82.00 |
| 90696 |
|
232 |
232 |
$72.00 |
| 90700 |
|
154 |
154 |
$72.00 |
| 2000F |
|
103 |
103 |
$36.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
722 |
721 |
$27.00 |
| 99383 |
|
26 |
26 |
$27.00 |
| 96127 |
|
55 |
55 |
$27.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
685 |
682 |
$27.00 |
| A4927 |
Gloves, non-sterile, per 100 |
32 |
32 |
$27.00 |
| 90688 |
|
15 |
15 |
$18.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
201 |
200 |
$10.00 |
| 1005F |
|
101 |
99 |
$10.00 |
| 90648 |
|
66 |
65 |
$9.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
236 |
235 |
$8.08 |
| 85027 |
|
275 |
275 |
$0.00 |
| 97802 |
|
86 |
86 |
$0.00 |
| 99172 |
|
52 |
52 |
$0.00 |
| 2015F |
|
17 |
17 |
$0.00 |
| 99443 |
|
56 |
53 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
86 |
86 |
$0.00 |
| D9920 |
|
15 |
15 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90657 |
|
28 |
28 |
$0.00 |
| 90461 |
|
403 |
402 |
$0.00 |
| 83655 |
|
266 |
266 |
$0.00 |
| 1003F |
|
117 |
117 |
$0.00 |
| 1039F |
|
92 |
91 |
$0.00 |
| 81003 |
|
14 |
14 |
$0.00 |
| 99401 |
|
86 |
86 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
104 |
103 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |