| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
12,715 |
12,652 |
$122K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,130 |
5,118 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,827 |
35,782 |
$107K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,220 |
4,219 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,467 |
1,449 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,898 |
1,895 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,688 |
5,471 |
$19K |
| 90649 |
|
3,236 |
3,230 |
$12K |
| 90686 |
|
2,721 |
2,716 |
$10K |
| 92551 |
|
731 |
727 |
$6K |
| 90734 |
|
1,275 |
1,275 |
$5K |
| 90620 |
|
1,458 |
1,456 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
422 |
422 |
$4K |
| 90648 |
|
624 |
622 |
$3K |
| 90670 |
|
681 |
679 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
457 |
457 |
$3K |
| 97802 |
|
5,549 |
5,544 |
$3K |
| 90655 |
|
452 |
452 |
$2K |
| 90715 |
|
563 |
563 |
$2K |
| 69200 |
|
190 |
186 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,376 |
5,363 |
$2K |
| 85018 |
|
903 |
898 |
$1K |
| 17000 |
|
185 |
182 |
$1K |
| 90619 |
|
648 |
646 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,205 |
3,190 |
$840.00 |
| 92015 |
Determination of refractive state |
660 |
656 |
$806.64 |
| 10061 |
|
37 |
37 |
$719.21 |
| 81000 |
|
290 |
290 |
$703.83 |
| 90674 |
|
191 |
191 |
$684.00 |
| 90633 |
|
197 |
197 |
$629.10 |
| 83655 |
|
84 |
84 |
$608.05 |
| 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 |
3,798 |
3,779 |
$450.00 |
| 81003 |
|
529 |
510 |
$438.42 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,911 |
2,909 |
$422.70 |
| 90680 |
|
67 |
65 |
$414.00 |
| 90710 |
|
101 |
101 |
$360.00 |
| 90696 |
|
109 |
109 |
$351.00 |
| 90700 |
|
90 |
90 |
$243.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$113.71 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
83 |
83 |
$53.42 |
| 90723 |
|
12 |
12 |
$45.00 |
| 85014 |
|
22 |
22 |
$36.77 |
| 81025 |
|
12 |
12 |
$31.74 |
| 99384 |
|
14 |
14 |
$9.00 |
| 3078F |
|
4,378 |
4,348 |
$0.00 |
| 99442 |
|
242 |
236 |
$0.00 |
| 3077F |
|
53 |
52 |
$0.00 |
| 3015F |
|
79 |
79 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
811 |
810 |
$0.00 |
| 3074F |
|
4,355 |
4,324 |
$0.00 |
| 3075F |
|
16 |
15 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3014F |
|
51 |
51 |
$0.00 |