| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
287 |
286 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
897 |
727 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
284 |
284 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
366 |
366 |
$12K |
| G9920 |
Screening performed and negative |
560 |
556 |
$10K |
| 92551 |
|
371 |
370 |
$5K |
| 97803 |
|
584 |
553 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
55 |
$3K |
| 92552 |
|
240 |
238 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
222 |
$2K |
| 99381 |
|
15 |
15 |
$2K |
| 90686 |
|
144 |
143 |
$1K |
| 85014 |
|
576 |
566 |
$1K |
| 81000 |
|
360 |
359 |
$939.17 |
| 85999 |
|
243 |
243 |
$731.43 |
| 99173 |
|
326 |
325 |
$605.42 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
70 |
$570.92 |
| 90658 |
|
60 |
60 |
$540.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$508.92 |
| 90670 |
|
25 |
25 |
$225.00 |
| 90700 |
|
24 |
24 |
$216.00 |
| 90648 |
|
24 |
24 |
$216.00 |
| 85018 |
|
105 |
104 |
$54.75 |
| 90656 |
|
62 |
62 |
$45.00 |
| 96127 |
|
85 |
84 |
$43.40 |
| 81002 |
|
55 |
54 |
$28.94 |
| 90651 |
|
12 |
12 |
$27.00 |
| 90620 |
|
12 |
12 |
$18.00 |
| 97802 |
|
248 |
234 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$0.00 |