| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
695 |
634 |
$77K |
| 96156 |
|
1,055 |
1,050 |
$65K |
| 97803 |
|
2,790 |
2,740 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
697 |
694 |
$45K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,577 |
2,534 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,763 |
1,667 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
638 |
635 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
655 |
640 |
$32K |
| 92551 |
|
1,559 |
1,553 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,056 |
1,035 |
$17K |
| G9920 |
Screening performed and negative |
606 |
603 |
$13K |
| 96151 |
|
494 |
494 |
$11K |
| 90686 |
|
1,073 |
1,066 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
146 |
145 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
91 |
83 |
$4K |
| 81000 |
|
1,641 |
1,632 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
284 |
283 |
$3K |
| 85018 |
|
1,531 |
1,527 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
518 |
517 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
295 |
294 |
$2K |
| 99462 |
|
69 |
34 |
$1K |
| 99460 |
|
45 |
45 |
$1K |
| 96127 |
|
213 |
213 |
$727.70 |
| 99173 |
|
123 |
120 |
$595.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$395.00 |
| 90658 |
|
41 |
41 |
$360.00 |
| 85999 |
|
95 |
95 |
$279.93 |
| 90651 |
|
27 |
27 |
$216.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$59.41 |
| 3008F |
|
12 |
12 |
$27.23 |
| 99188 |
|
37 |
37 |
$0.00 |