| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
2,781 |
2,774 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,599 |
8,097 |
$12K |
| 96156 |
|
2,154 |
2,149 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,144 |
2,055 |
$4K |
| 90686 |
|
1,243 |
1,223 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
715 |
687 |
$1K |
| 90688 |
|
204 |
203 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
614 |
594 |
$529.36 |
| 90670 |
|
106 |
105 |
$197.46 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
757 |
750 |
$143.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
41 |
$130.46 |
| G9920 |
Screening performed and negative |
2,694 |
2,684 |
$126.32 |
| 90671 |
|
13 |
13 |
$117.00 |
| 90651 |
|
51 |
51 |
$108.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
240 |
237 |
$92.05 |
| 90698 |
|
72 |
71 |
$80.37 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
29 |
$68.68 |
| 97802 |
|
1,281 |
1,279 |
$30.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
892 |
520 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
74 |
72 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,225 |
1,220 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,986 |
1,911 |
$0.00 |
| 99000 |
|
91 |
89 |
$0.00 |
| 99174 |
|
219 |
202 |
$0.00 |
| 90674 |
|
34 |
34 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 99050 |
|
14 |
14 |
$0.00 |