| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
2,151 |
2,139 |
$92K |
| G9920 |
Screening performed and negative |
2,692 |
2,683 |
$63K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,142 |
2,134 |
$62K |
| 99462 |
|
2,556 |
1,904 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
633 |
603 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,393 |
4,229 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,633 |
1,630 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,337 |
1,336 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,156 |
1,151 |
$29K |
| 96156 |
|
1,091 |
1,084 |
$26K |
| 99381 |
|
228 |
203 |
$22K |
| 92552 |
|
3,084 |
3,076 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,547 |
5,241 |
$13K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
335 |
328 |
$10K |
| 0001A |
|
144 |
144 |
$6K |
| 0002A |
|
127 |
127 |
$5K |
| 99173 |
|
1,743 |
1,738 |
$4K |
| 96151 |
|
511 |
511 |
$4K |
| 90700 |
|
591 |
575 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
186 |
186 |
$3K |
| 92551 |
|
433 |
432 |
$3K |
| 90648 |
|
434 |
428 |
$3K |
| 90670 |
|
438 |
431 |
$3K |
| 90713 |
|
393 |
385 |
$2K |
| 90680 |
|
241 |
237 |
$2K |
| 90744 |
|
184 |
182 |
$2K |
| 90688 |
|
979 |
978 |
$2K |
| 92081 |
|
1,369 |
1,367 |
$1K |
| 97803 |
|
1,817 |
1,816 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,328 |
1,303 |
$1K |
| 90685 |
|
185 |
183 |
$548.09 |
| 96150 |
|
58 |
58 |
$539.70 |
| 0004A |
|
12 |
12 |
$480.00 |
| 90633 |
|
127 |
125 |
$450.50 |
| 90649 |
|
204 |
199 |
$433.00 |
| 90707 |
|
123 |
119 |
$424.50 |
| 81000 |
|
227 |
227 |
$417.90 |
| 90716 |
|
124 |
120 |
$405.50 |
| 83026 |
|
146 |
146 |
$393.37 |
| 90734 |
|
120 |
120 |
$357.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$313.60 |
| 85018 |
|
202 |
202 |
$280.65 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
22 |
21 |
$253.11 |
| 97802 |
|
179 |
179 |
$240.40 |
| 81003 |
|
40 |
40 |
$105.30 |
| 96127 |
|
417 |
415 |
$57.75 |
| 90620 |
|
43 |
43 |
$27.00 |
| 90461 |
|
215 |
173 |
$22.99 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
45 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99401 |
|
24 |
24 |
$0.00 |
| 98966 |
|
87 |
87 |
$0.00 |
| 99442 |
|
68 |
66 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |