| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
523 |
513 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,803 |
7,120 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,154 |
1,152 |
$3K |
| 92587 |
|
2,041 |
2,027 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,227 |
1,179 |
$2K |
| G9920 |
Screening performed and negative |
1,867 |
1,863 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
423 |
422 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
747 |
741 |
$1K |
| 90688 |
|
139 |
139 |
$1K |
| 0072A |
|
51 |
27 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
567 |
566 |
$966.69 |
| 0071A |
|
24 |
13 |
$480.00 |
| 90686 |
|
248 |
246 |
$261.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
404 |
400 |
$211.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
39 |
$179.10 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,756 |
1,754 |
$116.83 |
| 90670 |
|
60 |
60 |
$63.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
303 |
299 |
$60.89 |
| 90698 |
|
19 |
19 |
$36.00 |
| 90680 |
|
14 |
14 |
$36.00 |
| 97802 |
|
25 |
25 |
$30.05 |
| 99406 |
|
78 |
78 |
$10.31 |
| 99177 |
|
417 |
407 |
$4.85 |
| 99000 |
|
17 |
16 |
$3.59 |
| 91307 |
|
49 |
45 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
447 |
427 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
46 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 87081 |
|
24 |
24 |
$0.00 |
| 96160 |
|
209 |
208 |
$0.00 |
| 99173 |
|
68 |
68 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
576 |
548 |
$0.00 |
| 90461 |
|
250 |
243 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
65 |
62 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
75 |
75 |
$0.00 |
| 90685 |
|
19 |
18 |
$0.00 |
| 90633 |
|
16 |
13 |
$0.00 |
| 99408 |
|
19 |
19 |
$0.00 |