| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
819 |
819 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
732 |
732 |
$6K |
| 90651 |
|
97 |
97 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,995 |
2,979 |
$5K |
| 92551 |
|
1,870 |
1,870 |
$4K |
| 90686 |
|
1,065 |
1,065 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,479 |
2,311 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
2,477 |
2,473 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
280 |
280 |
$2K |
| 99173 |
|
1,840 |
1,840 |
$973.52 |
| 90670 |
|
173 |
172 |
$751.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
60 |
$712.30 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
94 |
$487.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
416 |
414 |
$294.84 |
| 90461 |
|
867 |
867 |
$242.40 |
| 90698 |
|
13 |
13 |
$18.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
577 |
565 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
59 |
59 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 83655 |
|
29 |
29 |
$0.00 |
| 90685 |
|
41 |
40 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |