| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,455 |
4,444 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,794 |
2,781 |
$51K |
| 90658 |
|
5,733 |
5,631 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,175 |
18,852 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,070 |
1,062 |
$26K |
| 92551 |
|
7,033 |
7,014 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
3,268 |
3,258 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
735 |
735 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,395 |
10,288 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
384 |
375 |
$7K |
| 92081 |
|
6,842 |
6,822 |
$4K |
| 90620 |
|
1,602 |
1,601 |
$4K |
| G9920 |
Screening performed and negative |
7,693 |
7,673 |
$3K |
| 90649 |
|
1,344 |
1,341 |
$3K |
| 99384 |
|
42 |
42 |
$2K |
| 85018 |
|
4,339 |
4,332 |
$2K |
| 90734 |
|
843 |
842 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
30 |
$2K |
| 99383 |
|
40 |
40 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,697 |
4,687 |
$2K |
| 99381 |
|
18 |
12 |
$1K |
| 85014 |
|
877 |
847 |
$1K |
| 90686 |
|
146 |
146 |
$865.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,587 |
3,363 |
$842.00 |
| 90715 |
|
198 |
198 |
$820.80 |
| 90670 |
|
117 |
117 |
$747.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
427 |
418 |
$689.16 |
| 86580 |
|
418 |
417 |
$580.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
80 |
$353.96 |
| 90716 |
|
78 |
78 |
$325.80 |
| 90633 |
|
80 |
80 |
$318.60 |
| 90707 |
|
67 |
67 |
$282.60 |
| 81000 |
|
1,238 |
1,236 |
$230.85 |
| 81002 |
|
288 |
288 |
$210.68 |
| 90698 |
|
26 |
26 |
$207.00 |
| 90700 |
|
54 |
54 |
$199.80 |
| 90744 |
|
25 |
25 |
$171.00 |
| 90713 |
|
12 |
12 |
$99.00 |
| 90680 |
|
12 |
12 |
$99.00 |
| 91300 |
|
40 |
33 |
$72.00 |
| 90657 |
|
12 |
12 |
$54.00 |
| 99173 |
|
205 |
205 |
$32.82 |
| 96127 |
|
2,144 |
2,143 |
$19.04 |
| 90672 |
|
13 |
13 |
$14.40 |
| 96161 |
|
2,489 |
2,481 |
$7.91 |
| 96160 |
|
4,194 |
4,189 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
12 |
12 |
$0.00 |
| 0002A |
|
49 |
49 |
$0.00 |
| 0003A |
|
31 |
31 |
$0.00 |
| 90461 |
|
466 |
417 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
114 |
110 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
320 |
320 |
$0.00 |
| 0071A |
|
50 |
50 |
$0.00 |
| 90630 |
|
15 |
15 |
$0.00 |
| 0072A |
|
45 |
45 |
$0.00 |
| 90619 |
|
290 |
290 |
$0.00 |
| 99441 |
|
35 |
34 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 0001A |
|
29 |
29 |
$0.00 |