| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
10,163 |
10,097 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,327 |
5,316 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,610 |
3,599 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,572 |
17,230 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,631 |
2,110 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,075 |
2,070 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,047 |
4,021 |
$30K |
| 92552 |
|
6,377 |
6,354 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
906 |
894 |
$19K |
| 99173 |
|
6,383 |
6,364 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
246 |
246 |
$5K |
| 90686 |
|
2,134 |
2,089 |
$3K |
| 90474 |
|
84 |
84 |
$662.56 |
| 90648 |
|
631 |
622 |
$405.00 |
| 90670 |
|
564 |
557 |
$405.00 |
| 90723 |
|
293 |
288 |
$342.00 |
| 90680 |
|
203 |
201 |
$315.00 |
| 90734 |
|
269 |
267 |
$132.00 |
| 90651 |
|
717 |
716 |
$132.00 |
| 90700 |
|
488 |
486 |
$106.91 |
| 90707 |
|
483 |
479 |
$54.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,205 |
2,063 |
$45.00 |
| 90715 |
|
133 |
132 |
$45.00 |
| 90621 |
|
48 |
48 |
$36.00 |
| 90713 |
|
173 |
173 |
$36.00 |
| 90716 |
|
501 |
497 |
$36.00 |
| 90633 |
|
286 |
283 |
$18.00 |
| 90656 |
|
473 |
470 |
$18.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
779 |
779 |
$9.61 |
| 96127 |
|
906 |
906 |
$4.32 |
| 83655 |
|
129 |
129 |
$0.00 |
| 90655 |
|
86 |
86 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
111 |
95 |
$0.00 |
| 90672 |
|
410 |
410 |
$0.00 |
| 99401 |
|
62 |
62 |
$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 |
44 |
42 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
185 |
$0.00 |
| 90619 |
|
87 |
87 |
$0.00 |
| 92060 |
|
15 |
15 |
$0.00 |
| 90677 |
|
14 |
13 |
$0.00 |