| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
11,432 |
11,413 |
$108K |
| 97802 |
|
1,828 |
1,825 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,638 |
14,761 |
$25K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,490 |
1,488 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,371 |
1,339 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,938 |
9,041 |
$18K |
| G9920 |
Screening performed and negative |
10,984 |
10,953 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,590 |
3,538 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,200 |
3,180 |
$8K |
| 90670 |
|
2,036 |
2,018 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,099 |
5,086 |
$6K |
| 90686 |
|
1,974 |
1,972 |
$5K |
| 90651 |
|
1,271 |
1,269 |
$4K |
| 90734 |
|
1,236 |
1,232 |
$4K |
| 90700 |
|
1,621 |
1,605 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,765 |
2,656 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,037 |
4,034 |
$3K |
| 90707 |
|
1,200 |
1,192 |
$3K |
| 90648 |
|
1,384 |
1,369 |
$3K |
| 99188 |
|
3,261 |
3,241 |
$3K |
| 90716 |
|
1,145 |
1,137 |
$3K |
| 90633 |
|
930 |
922 |
$2K |
| 90658 |
|
364 |
364 |
$2K |
| 90744 |
|
673 |
668 |
$2K |
| 90713 |
|
786 |
779 |
$2K |
| 99383 |
|
111 |
111 |
$2K |
| 90698 |
|
272 |
272 |
$2K |
| 90715 |
|
364 |
363 |
$1K |
| 99382 |
|
30 |
30 |
$854.22 |
| 90621 |
|
177 |
175 |
$597.00 |
| 90657 |
|
83 |
83 |
$501.00 |
| 90685 |
|
162 |
162 |
$495.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,368 |
3,361 |
$462.04 |
| 90696 |
|
130 |
130 |
$428.82 |
| 96156 |
|
70 |
70 |
$239.40 |
| 99406 |
|
1,198 |
1,197 |
$216.18 |
| 90680 |
|
30 |
30 |
$99.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,370 |
1,362 |
$34.42 |
| 90620 |
|
301 |
301 |
$26.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
134 |
134 |
$14.26 |
| 83655 |
|
52 |
51 |
$10.52 |
| 96161 |
|
1,388 |
1,386 |
$0.00 |
| 1220F |
|
18 |
17 |
$0.00 |
| 99173 |
|
4,701 |
4,688 |
$0.00 |
| 4004F |
|
2,761 |
2,756 |
$0.00 |
| 99408 |
|
1,479 |
1,479 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
870 |
869 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
174 |
174 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |