| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
1,562 |
1,557 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,137 |
1,980 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
450 |
449 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
328 |
328 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
333 |
333 |
$3K |
| 92551 |
|
728 |
728 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
126 |
$1K |
| 90686 |
|
163 |
163 |
$810.00 |
| 92552 |
|
200 |
200 |
$709.88 |
| 99460 |
|
16 |
16 |
$406.68 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
169 |
$330.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$323.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
190 |
$212.75 |
| 90670 |
|
39 |
39 |
$180.00 |
| 90656 |
|
44 |
44 |
$117.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
277 |
262 |
$85.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
26 |
$79.20 |
| 90651 |
|
15 |
15 |
$54.00 |
| 96127 |
|
186 |
186 |
$24.00 |
| 92081 |
|
525 |
525 |
$2.51 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
57 |
57 |
$0.00 |
| 99173 |
|
61 |
61 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
117 |
83 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
125 |
122 |
$0.00 |