| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
2,027 |
1,980 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,058 |
2,909 |
$7K |
| 96156 |
|
1,842 |
1,831 |
$4K |
| 92552 |
|
1,168 |
1,157 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
292 |
291 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,104 |
1,084 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
27 |
$1K |
| 0004A |
|
19 |
15 |
$520.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
508 |
508 |
$437.57 |
| 85018 |
|
1,389 |
1,359 |
$378.46 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
124 |
124 |
$346.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
873 |
857 |
$316.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
128 |
$238.94 |
| 90686 |
|
166 |
163 |
$162.00 |
| 90734 |
|
49 |
49 |
$99.00 |
| 90651 |
|
41 |
40 |
$63.00 |
| 99173 |
|
1,025 |
1,018 |
$62.24 |
| 90672 |
|
14 |
14 |
$27.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
282 |
281 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
103 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
105 |
105 |
$0.00 |
| 3078F |
|
135 |
135 |
$0.00 |
| 81002 |
|
111 |
111 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
30 |
30 |
$0.00 |
| 88150 |
|
46 |
46 |
$0.00 |
| 3074F |
|
142 |
142 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 99385 |
|
21 |
21 |
$0.00 |
| 3079F |
|
25 |
25 |
$0.00 |
| 99386 |
|
15 |
15 |
$0.00 |