| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,148 |
1,124 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,028 |
1,498 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
391 |
372 |
$17K |
| 99381 |
|
243 |
229 |
$12K |
| 99460 |
|
68 |
67 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
193 |
187 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
72 |
$4K |
| G9920 |
Screening performed and negative |
235 |
226 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
447 |
442 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
122 |
$2K |
| 90670 |
|
134 |
129 |
$1K |
| 90686 |
|
107 |
107 |
$993.99 |
| 90698 |
|
99 |
94 |
$891.00 |
| 90680 |
|
81 |
76 |
$729.00 |
| 96150 |
|
42 |
38 |
$583.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
34 |
$548.84 |
| 96151 |
|
28 |
22 |
$405.00 |
| 99462 |
|
83 |
68 |
$347.93 |
| 90744 |
|
27 |
27 |
$225.00 |
| 85018 |
|
25 |
25 |
$51.54 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
803 |
764 |
$0.00 |
| 90461 |
|
320 |
227 |
$0.00 |
| 4274F |
|
52 |
52 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
53 |
53 |
$0.00 |
| 96161 |
|
394 |
380 |
$0.00 |
| 36416 |
|
28 |
27 |
$0.00 |
| 3008F |
|
27 |
27 |
$0.00 |
| 4037F |
|
53 |
53 |
$0.00 |