| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
1,018 |
1,002 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
474 |
469 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
654 |
641 |
$13K |
| 92552 |
|
605 |
604 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,482 |
3,212 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
720 |
715 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,703 |
1,604 |
$3K |
| 92551 |
|
1,207 |
1,198 |
$3K |
| 90658 |
|
1,199 |
1,194 |
$2K |
| 0071A |
|
61 |
59 |
$2K |
| 99173 |
|
2,015 |
1,995 |
$2K |
| 0072A |
|
43 |
43 |
$2K |
| 0001A |
|
40 |
40 |
$2K |
| 0002A |
|
36 |
36 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
52 |
$822.95 |
| G9919 |
Screening performed and positive and provision of recommendations |
45 |
44 |
$464.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
26 |
$347.44 |
| 90655 |
|
44 |
43 |
$60.75 |
| 90651 |
|
51 |
51 |
$36.00 |
| 81003 |
|
14 |
14 |
$25.80 |
| 90621 |
|
12 |
12 |
$9.00 |
| 86580 |
|
13 |
13 |
$3.35 |
| 90734 |
|
42 |
42 |
$0.00 |
| 99401 |
|
20 |
19 |
$0.00 |
| 97802 |
|
1,680 |
1,674 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
155 |
148 |
$0.00 |
| 99172 |
|
17 |
16 |
$0.00 |
| 90657 |
|
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
19 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
20 |
19 |
$0.00 |