| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,226 |
3,021 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
150 |
139 |
$1K |
| G9920 |
Screening performed and negative |
1,788 |
1,782 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
839 |
823 |
$403.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
428 |
424 |
$328.97 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
542 |
526 |
$119.42 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$68.21 |
| 90686 |
|
77 |
77 |
$52.98 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
684 |
670 |
$47.76 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
835 |
833 |
$34.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
721 |
682 |
$0.00 |
| 90461 |
|
107 |
99 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
30 |
$0.00 |
| 1036F |
|
380 |
379 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
101 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
118 |
118 |
$0.00 |
| 96156 |
|
55 |
55 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$0.00 |