| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
6,473 |
6,395 |
$101K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,252 |
1,251 |
$17K |
| 94010 |
|
652 |
573 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,389 |
11,159 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
694 |
685 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,642 |
6,372 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,978 |
1,975 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$2K |
| 92567 |
|
64 |
54 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,693 |
2,691 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,011 |
2,009 |
$770.80 |
| G9920 |
Screening performed and negative |
1,986 |
1,972 |
$746.46 |
| 99383 |
|
65 |
65 |
$358.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
64 |
$313.79 |
| G9919 |
Screening performed and positive and provision of recommendations |
1,427 |
1,419 |
$287.10 |
| 81003 |
|
7,016 |
6,910 |
$237.20 |
| 97802 |
|
284 |
284 |
$222.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
144 |
142 |
$130.46 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
297 |
276 |
$123.75 |
| 94760 |
|
666 |
590 |
$92.96 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,503 |
1,499 |
$79.20 |
| 99406 |
|
656 |
655 |
$33.04 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
210 |
208 |
$19.80 |
| 85018 |
|
213 |
205 |
$18.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$13.90 |
| 99173 |
|
1,372 |
1,316 |
$12.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,038 |
1,929 |
$8.84 |
| 86580 |
|
74 |
62 |
$7.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,391 |
3,383 |
$0.49 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
3,643 |
3,612 |
$0.00 |
| 90461 |
|
1,487 |
475 |
$0.00 |
| 99382 |
|
24 |
24 |
$0.00 |
| 99408 |
|
547 |
547 |
$0.00 |
| 96160 |
|
1,035 |
1,030 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,851 |
1,077 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
361 |
320 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$0.00 |
| 0545F |
|
201 |
198 |
$0.00 |
| 3008F |
|
128 |
128 |
$0.00 |
| 3351F |
|
221 |
206 |
$0.00 |
| 90686 |
|
57 |
57 |
$0.00 |
| 3353F |
|
137 |
133 |
$0.00 |
| 1036F |
|
1,371 |
1,371 |
$0.00 |
| 1220F |
|
237 |
237 |
$0.00 |
| 3352F |
|
90 |
90 |
$0.00 |