| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,436 |
3,370 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,995 |
3,922 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,009 |
16,640 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,699 |
2,598 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,613 |
8,020 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,464 |
3,943 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
831 |
823 |
$31K |
| 90651 |
|
706 |
676 |
$29K |
| 99215 |
Prolong outpt/office vis |
4,761 |
4,678 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,152 |
6,412 |
$21K |
| 90686 |
|
3,082 |
3,063 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
336 |
311 |
$14K |
| 99205 |
Prolong outpt/office vis |
241 |
240 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
259 |
257 |
$11K |
| 92552 |
|
643 |
643 |
$6K |
| 90670 |
|
773 |
764 |
$5K |
| 90648 |
|
771 |
760 |
$4K |
| 90723 |
|
494 |
488 |
$3K |
| 90734 |
|
504 |
501 |
$2K |
| 90680 |
|
351 |
348 |
$2K |
| 90633 |
|
352 |
345 |
$2K |
| 99383 |
|
25 |
18 |
$2K |
| 90716 |
|
300 |
296 |
$2K |
| 90685 |
|
204 |
187 |
$2K |
| 90707 |
|
285 |
281 |
$2K |
| 92551 |
|
195 |
195 |
$1K |
| 90700 |
|
241 |
239 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 85018 |
|
522 |
519 |
$915.87 |
| 90621 |
|
365 |
361 |
$892.24 |
| G9920 |
Screening performed and negative |
330 |
329 |
$696.00 |
| 90715 |
|
122 |
122 |
$432.00 |
| 99173 |
|
177 |
177 |
$351.48 |
| 81003 |
|
146 |
146 |
$227.06 |
| 90713 |
|
44 |
44 |
$189.00 |
| 81000 |
|
125 |
125 |
$182.34 |
| 86769 |
|
952 |
925 |
$174.85 |
| 87081 |
|
850 |
838 |
$72.19 |
| 92060 |
|
337 |
337 |
$69.66 |
| 81002 |
|
50 |
50 |
$59.52 |
| 87070 |
|
37 |
35 |
$29.90 |
| 86580 |
|
15 |
15 |
$23.33 |
| 99188 |
|
228 |
222 |
$17.82 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
353 |
350 |
$0.00 |
| 96161 |
|
187 |
187 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
37 |
37 |
$0.00 |
| 96127 |
|
42 |
42 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
80 |
79 |
$0.00 |
| 96160 |
|
46 |
46 |
$0.00 |
| 83655 |
|
206 |
197 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
46 |
46 |
$0.00 |
| 92081 |
|
14 |
14 |
$0.00 |