| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
3,079 |
3,060 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
873 |
850 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,358 |
4,043 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,636 |
3,478 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,557 |
1,550 |
$4K |
| 90670 |
|
767 |
755 |
$2K |
| 90686 |
|
906 |
906 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,195 |
1,186 |
$1K |
| 90698 |
|
325 |
319 |
$1K |
| G9920 |
Screening performed and negative |
985 |
985 |
$820.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
217 |
217 |
$790.85 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
536 |
529 |
$684.80 |
| 90680 |
|
138 |
137 |
$522.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
68 |
$437.10 |
| G9919 |
Screening performed and positive and provision of recommendations |
1,155 |
1,152 |
$382.16 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
424 |
422 |
$352.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
347 |
344 |
$269.55 |
| 90677 |
|
28 |
28 |
$251.91 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,083 |
1,079 |
$218.25 |
| 90633 |
|
160 |
159 |
$215.37 |
| 90734 |
|
39 |
39 |
$108.00 |
| 90744 |
|
12 |
12 |
$108.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,153 |
2,118 |
$36.33 |
| 97803 |
|
94 |
94 |
$24.75 |
| 99173 |
|
466 |
453 |
$18.66 |
| 90672 |
|
88 |
88 |
$0.00 |
| 83655 |
|
69 |
68 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,727 |
1,715 |
$0.00 |
| 1036F |
|
2,079 |
2,074 |
$0.00 |
| 90651 |
|
47 |
47 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 3351F |
|
16 |
16 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
28 |
28 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
21 |
20 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |