| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99384 |
|
1,234 |
1,158 |
$149K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,094 |
1,688 |
$83K |
| 92552 |
|
4,370 |
4,367 |
$42K |
| Q3014 |
Telehealth originating site facility fee |
3,688 |
3,412 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
602 |
602 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,396 |
3,092 |
$13K |
| G9920 |
Screening performed and negative |
1,800 |
1,798 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,744 |
1,742 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
724 |
724 |
$7K |
| 90651 |
|
297 |
296 |
$6K |
| 90686 |
|
558 |
556 |
$3K |
| 90688 |
|
263 |
263 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
132 |
132 |
$2K |
| 92081 |
|
2,426 |
2,424 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
92 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
522 |
513 |
$2K |
| 90620 |
|
210 |
210 |
$1K |
| 86580 |
|
289 |
289 |
$959.37 |
| 92551 |
|
85 |
85 |
$957.90 |
| 90715 |
|
126 |
125 |
$882.50 |
| 99383 |
|
15 |
15 |
$841.96 |
| 90734 |
|
143 |
143 |
$748.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$437.36 |
| 90648 |
|
27 |
25 |
$243.00 |
| 99382 |
|
12 |
12 |
$240.16 |
| 81002 |
|
130 |
130 |
$227.88 |
| 90670 |
|
54 |
52 |
$222.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
188 |
188 |
$207.10 |
| 90633 |
|
36 |
36 |
$191.91 |
| 90710 |
|
26 |
26 |
$123.00 |
| 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 |
190 |
190 |
$0.00 |
| 3078F |
|
44 |
44 |
$0.00 |
| 90461 |
|
26 |
26 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 3008F |
|
58 |
58 |
$0.00 |
| 3074F |
|
44 |
44 |
$0.00 |
| 99441 |
|
25 |
24 |
$0.00 |