| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,295 |
2,276 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,438 |
2,431 |
$32K |
| G9919 |
Screening performed and positive and provision of recommendations |
2,842 |
2,820 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,276 |
1,253 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,538 |
1,518 |
$14K |
| 92552 |
|
3,181 |
3,166 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,565 |
2,492 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
306 |
306 |
$6K |
| 90686 |
|
950 |
901 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
915 |
900 |
$5K |
| 90672 |
|
901 |
862 |
$4K |
| 90688 |
|
1,217 |
1,153 |
$4K |
| 90651 |
|
658 |
639 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,251 |
6,749 |
$2K |
| 0124A |
|
58 |
58 |
$2K |
| 0053A |
|
48 |
48 |
$2K |
| 90734 |
|
388 |
376 |
$1K |
| 90620 |
|
210 |
203 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,127 |
2,068 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
86 |
$1K |
| 90670 |
|
274 |
251 |
$848.00 |
| 90647 |
|
78 |
68 |
$786.00 |
| 0073A |
|
19 |
19 |
$760.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,515 |
4,507 |
$596.70 |
| 90473 |
|
149 |
148 |
$533.28 |
| 90715 |
|
67 |
66 |
$495.50 |
| 90633 |
|
76 |
75 |
$440.00 |
| 90723 |
|
85 |
77 |
$348.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
4,941 |
4,922 |
$318.00 |
| 90744 |
|
63 |
61 |
$165.00 |
| 90710 |
|
28 |
28 |
$117.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
458 |
458 |
$104.72 |
| 90685 |
|
53 |
52 |
$95.55 |
| 90680 |
|
31 |
28 |
$90.00 |
| G9920 |
Screening performed and negative |
23 |
23 |
$29.00 |
| 3078F |
|
192 |
189 |
$20.00 |
| 96127 |
|
639 |
638 |
$17.95 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
131 |
131 |
$0.00 |
| 99173 |
|
36 |
36 |
$0.00 |
| 3074F |
|
205 |
202 |
$0.00 |
| 3008F |
|
195 |
195 |
$0.00 |