| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,401 |
3,277 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,483 |
4,794 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
856 |
827 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,348 |
3,244 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,296 |
1,263 |
$13K |
| 92551 |
|
3,155 |
3,093 |
$8K |
| G9920 |
Screening performed and negative |
3,770 |
3,652 |
$5K |
| 99406 |
|
2,328 |
2,279 |
$4K |
| 90670 |
|
789 |
778 |
$3K |
| 92081 |
|
355 |
353 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,010 |
932 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
102 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
892 |
877 |
$2K |
| 90698 |
|
523 |
515 |
$2K |
| 90686 |
|
584 |
580 |
$1K |
| 90633 |
|
330 |
323 |
$721.71 |
| 99383 |
|
17 |
17 |
$613.37 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
576 |
564 |
$401.68 |
| 90688 |
|
91 |
89 |
$338.58 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,093 |
2,058 |
$337.60 |
| 90680 |
|
141 |
138 |
$286.20 |
| 99381 |
|
14 |
13 |
$224.40 |
| 90716 |
|
207 |
206 |
$196.02 |
| 99188 |
|
185 |
180 |
$181.76 |
| 90707 |
|
211 |
210 |
$178.20 |
| 90744 |
|
90 |
88 |
$160.38 |
| 90700 |
|
148 |
146 |
$106.92 |
| 90672 |
|
87 |
86 |
$80.19 |
| 90715 |
|
91 |
88 |
$71.28 |
| 90651 |
|
245 |
233 |
$62.37 |
| 90734 |
|
169 |
167 |
$53.46 |
| 90713 |
|
27 |
26 |
$53.46 |
| G9919 |
Screening performed and positive and provision of recommendations |
46 |
46 |
$31.58 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
16 |
$29.38 |
| 96127 |
|
171 |
168 |
$10.48 |
| 86580 |
|
132 |
128 |
$6.69 |
| 85018 |
|
42 |
41 |
$6.57 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,023 |
1,999 |
$6.00 |
| 81002 |
|
35 |
34 |
$4.48 |
| 90685 |
|
58 |
56 |
$0.00 |
| 4004F |
|
1,049 |
1,002 |
$0.00 |
| 90461 |
|
1,081 |
1,074 |
$0.00 |
| 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 |
2,690 |
2,644 |
$0.00 |
| 99173 |
|
2,206 |
2,169 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
406 |
403 |
$0.00 |
| 83655 |
|
71 |
70 |
$0.00 |
| 96160 |
|
1,963 |
1,934 |
$0.00 |
| 99408 |
|
360 |
356 |
$0.00 |
| 81003 |
|
229 |
218 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
404 |
374 |
$0.00 |
| 80061 |
Lipid panel |
33 |
32 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
43 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,517 |
3,429 |
$0.00 |
| 3008F |
|
2,612 |
2,563 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,440 |
2,392 |
$0.00 |
| 90620 |
|
93 |
86 |
$0.00 |
| 96161 |
|
348 |
339 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
196 |
195 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
28 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
88 |
84 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
330 |
316 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
283 |
273 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
197 |
195 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$0.00 |
| 99251 |
|
14 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
230 |
225 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
153 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
22 |
22 |
$0.00 |
| 90677 |
|
21 |
21 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |