| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
779 |
705 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
608 |
574 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,835 |
1,576 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
413 |
375 |
$26K |
| 90671 |
|
210 |
200 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
278 |
268 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,182 |
1,032 |
$6K |
| 90461 |
|
613 |
574 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
67 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,693 |
1,528 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
95 |
$4K |
| 97802 |
|
2,758 |
2,503 |
$3K |
| 99381 |
|
18 |
17 |
$1K |
| 90700 |
|
69 |
59 |
$171.92 |
| 85018 |
|
263 |
239 |
$80.37 |
| 83655 |
|
111 |
102 |
$76.77 |
| 94664 |
|
27 |
25 |
$32.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
32 |
$29.88 |
| 81002 |
|
31 |
29 |
$8.40 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,742 |
2,496 |
$6.20 |
| 90633 |
|
184 |
173 |
$0.00 |
| 90681 |
|
45 |
42 |
$0.00 |
| 90715 |
|
33 |
31 |
$0.00 |
| 99177 |
|
172 |
164 |
$0.00 |
| 90707 |
|
75 |
68 |
$0.00 |
| 90648 |
|
73 |
68 |
$0.00 |
| 90670 |
|
28 |
25 |
$0.00 |
| 90658 |
|
24 |
23 |
$0.00 |
| 90734 |
|
84 |
78 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 90651 |
|
111 |
107 |
$0.00 |
| 90620 |
|
104 |
99 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90716 |
|
63 |
59 |
$0.00 |
| 90723 |
|
33 |
31 |
$0.00 |
| 92587 |
|
72 |
69 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
98 |
94 |
$0.00 |
| 90697 |
|
92 |
87 |
$0.00 |
| 90677 |
|
16 |
14 |
$0.00 |