| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
1,771 |
1,757 |
$0.00 |
| G9920 |
Screening performed and negative |
2,597 |
2,582 |
$0.00 |
| 3078F |
|
187 |
181 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
173 |
172 |
$0.00 |
| 3725F |
|
1,988 |
1,964 |
$0.00 |
| 99408 |
|
1,635 |
1,615 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
440 |
439 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,843 |
1,767 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
81 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
337 |
335 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
781 |
771 |
$0.00 |
| 90670 |
|
168 |
168 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
468 |
468 |
$0.00 |
| 90648 |
|
120 |
120 |
$0.00 |
| 86631 |
|
69 |
69 |
$0.00 |
| 4004F |
|
56 |
56 |
$0.00 |
| 90633 |
|
99 |
99 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
133 |
$0.00 |
| 90710 |
|
46 |
46 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
565 |
560 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
381 |
363 |
$0.00 |
| 1036F |
|
1,494 |
1,480 |
$0.00 |
| 90723 |
|
84 |
84 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
972 |
970 |
$0.00 |
| 99406 |
|
456 |
455 |
$0.00 |
| 3074F |
|
161 |
155 |
$0.00 |
| 90651 |
|
41 |
41 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
97 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
263 |
263 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,995 |
3,864 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,621 |
1,605 |
$0.00 |
| 90657 |
|
370 |
370 |
$0.00 |
| 3079F |
|
88 |
85 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
401 |
400 |
$0.00 |
| 92551 |
|
16 |
16 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
28 |
28 |
$0.00 |
| 90697 |
|
17 |
17 |
$0.00 |
| 3075F |
|
95 |
93 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
15 |
13 |
$0.00 |