| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,729 |
1,565 |
$36K |
| 96156 |
|
618 |
610 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
688 |
623 |
$23K |
| G9920 |
Screening performed and negative |
1,254 |
1,230 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
285 |
281 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
297 |
297 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
250 |
191 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
289 |
282 |
$4K |
| 92552 |
|
233 |
232 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
129 |
$4K |
| 90677 |
|
29 |
28 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
664 |
657 |
$2K |
| 92551 |
|
425 |
425 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
205 |
203 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$886.55 |
| 90686 |
|
178 |
169 |
$828.00 |
| 0072A |
|
12 |
12 |
$360.00 |
| 96127 |
|
152 |
152 |
$269.16 |
| 99406 |
|
145 |
145 |
$146.91 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
169 |
153 |
$145.11 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
20 |
$51.31 |
| 99173 |
|
124 |
124 |
$31.37 |
| 94760 |
|
26 |
25 |
$16.59 |
| 96160 |
|
263 |
262 |
$0.00 |
| 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 |
312 |
307 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
26 |
26 |
$0.00 |
| 3008F |
|
317 |
311 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |