| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
679 |
674 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,981 |
1,910 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
576 |
570 |
$6K |
| 92552 |
|
202 |
201 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
892 |
876 |
$2K |
| G9920 |
Screening performed and negative |
864 |
860 |
$1K |
| 90686 |
|
231 |
229 |
$1K |
| 96151 |
|
184 |
184 |
$596.69 |
| 90651 |
|
37 |
37 |
$449.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$427.47 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$376.57 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$304.37 |
| 99173 |
|
360 |
358 |
$302.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
403 |
$290.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
123 |
120 |
$250.72 |
| 90658 |
|
161 |
158 |
$197.11 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$179.20 |
| 92551 |
|
115 |
115 |
$47.99 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
362 |
359 |
$19.99 |
| 3008F |
|
1,150 |
1,146 |
$0.00 |
| 99441 |
|
570 |
551 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
354 |
352 |
$0.00 |
| 3074F |
|
95 |
95 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 96160 |
|
371 |
369 |
$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 |
372 |
370 |
$0.00 |
| 3078F |
|
95 |
95 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |