| Code | Description | Claims | Beneficiaries | Total Paid |
| 92551 |
|
1,646 |
1,632 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,110 |
5,195 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,755 |
1,653 |
$2K |
| 90686 |
|
753 |
733 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
974 |
960 |
$888.54 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
799 |
789 |
$576.42 |
| G9920 |
Screening performed and negative |
918 |
903 |
$549.50 |
| 97802 |
|
169 |
169 |
$475.00 |
| 90716 |
|
143 |
143 |
$386.19 |
| 90707 |
|
152 |
151 |
$386.01 |
| 90670 |
|
397 |
386 |
$377.91 |
| 90633 |
|
99 |
98 |
$243.96 |
| 90734 |
|
39 |
39 |
$189.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
603 |
582 |
$114.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
402 |
395 |
$104.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
447 |
432 |
$51.55 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
172 |
$34.34 |
| 97803 |
|
620 |
617 |
$29.47 |
| 92081 |
|
894 |
887 |
$24.75 |
| 3008F |
|
1,522 |
1,502 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,409 |
1,395 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
263 |
263 |
$0.00 |
| 96151 |
|
187 |
187 |
$0.00 |
| 3351F |
|
24 |
24 |
$0.00 |
| 96127 |
|
118 |
118 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90698 |
|
80 |
79 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
244 |
238 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
662 |
651 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
481 |
477 |
$0.00 |
| 4004F |
|
769 |
760 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
210 |
210 |
$0.00 |
| 90461 |
|
178 |
177 |
$0.00 |
| 99173 |
|
557 |
555 |
$0.00 |
| 99401 |
|
100 |
99 |
$0.00 |
| 90681 |
|
25 |
25 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
215 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
215 |
213 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |