| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,673 |
1,664 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,259 |
1,252 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
799 |
795 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,545 |
1,920 |
$41K |
| 99429 |
|
404 |
404 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
182 |
179 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,381 |
1,147 |
$11K |
| 99383 |
|
103 |
102 |
$10K |
| 90461 |
|
1,018 |
804 |
$7K |
| 97802 |
|
1,067 |
1,056 |
$6K |
| 96160 |
|
1,584 |
1,575 |
$3K |
| 99382 |
|
24 |
24 |
$2K |
| 92552 |
|
100 |
100 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| S8301 |
Infection control supplies, not otherwise specified |
234 |
233 |
$805.62 |
| H0049 |
Alcohol and/or drug screening |
26 |
26 |
$73.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$11.90 |
| 90674 |
|
44 |
43 |
$0.44 |
| 90686 |
|
566 |
561 |
$0.05 |
| 90734 |
|
45 |
45 |
$0.04 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,077 |
1,068 |
$0.01 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90650 |
|
41 |
41 |
$0.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
169 |
168 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 99173 |
|
498 |
497 |
$0.00 |
| 90648 |
|
106 |
105 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
147 |
144 |
$0.00 |
| 90670 |
|
149 |
149 |
$0.00 |
| 99072 |
|
84 |
84 |
$0.00 |
| 90649 |
|
34 |
34 |
$0.00 |
| 90633 |
|
179 |
179 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 90715 |
|
40 |
40 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |