| Code | Description | Claims | Beneficiaries | Total Paid |
| G9920 |
Screening performed and negative |
504 |
502 |
$15K |
| 90686 |
|
1,068 |
1,065 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,880 |
3,347 |
$9K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
254 |
236 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
554 |
554 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
366 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
523 |
522 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
155 |
155 |
$2K |
| 90674 |
|
131 |
131 |
$1K |
| 92551 |
|
1,591 |
1,580 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
293 |
$884.11 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
262 |
254 |
$812.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
756 |
744 |
$624.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
12 |
$374.75 |
| 90651 |
|
40 |
40 |
$360.00 |
| 90620 |
|
28 |
28 |
$252.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$248.10 |