| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
7,179 |
7,144 |
$56K |
| 90686 |
|
2,937 |
2,930 |
$14K |
| 90651 |
|
1,184 |
1,179 |
$6K |
| G9920 |
Screening performed and negative |
4,081 |
4,074 |
$6K |
| 90734 |
|
823 |
823 |
$4K |
| 90715 |
|
444 |
442 |
$2K |
| 90707 |
|
323 |
321 |
$2K |
| 90716 |
|
304 |
302 |
$1K |
| 90688 |
|
282 |
282 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,131 |
391 |
$948.00 |
| 90696 |
|
173 |
173 |
$845.58 |
| 90621 |
|
163 |
163 |
$816.00 |
| 99460 |
|
15 |
15 |
$760.45 |
| 90620 |
|
141 |
141 |
$696.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,498 |
12,627 |
$632.42 |
| 90670 |
|
119 |
119 |
$600.00 |
| 86580 |
|
69 |
69 |
$520.00 |
| 90633 |
|
99 |
99 |
$492.00 |
| 99462 |
|
15 |
15 |
$406.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
43 |
$380.00 |
| 90685 |
|
39 |
39 |
$192.00 |
| 90700 |
|
30 |
30 |
$162.00 |
| 90648 |
|
25 |
25 |
$132.00 |
| 90744 |
|
13 |
13 |
$117.00 |
| 90619 |
|
190 |
190 |
$12.00 |
| 85018 |
|
1,279 |
1,239 |
$4.52 |
| 81000 |
|
1,366 |
1,337 |
$2.81 |
| 3351F |
|
601 |
601 |
$0.00 |
| 96156 |
|
1,238 |
1,235 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,636 |
1,624 |
$0.00 |
| 3352F |
|
358 |
358 |
$0.00 |
| 1220F |
|
114 |
113 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
73 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
60 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
75 |
75 |
$0.00 |
| 3353F |
|
16 |
16 |
$0.00 |
| 99173 |
|
7,149 |
7,075 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
874 |
871 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,072 |
1,048 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,891 |
2,863 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
26 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,645 |
2,633 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
307 |
303 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,291 |
1,247 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
36 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
66 |
66 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
22 |
22 |
$0.00 |
| 90672 |
|
112 |
112 |
$0.00 |