| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
1,221 |
1,220 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
208 |
208 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,294 |
8,411 |
$22K |
| 96127 |
|
3,060 |
3,006 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
280 |
280 |
$21K |
| 90686 |
|
1,076 |
1,075 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
223 |
223 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
115 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,500 |
1,461 |
$11K |
| 99173 |
|
1,059 |
1,058 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
64 |
$4K |
| G9920 |
Screening performed and negative |
35 |
35 |
$2K |
| 90656 |
|
73 |
73 |
$1K |
| 90648 |
|
44 |
44 |
$774.00 |
| 90670 |
|
42 |
42 |
$738.00 |
| 90480 |
|
20 |
20 |
$720.00 |
| 0071A |
|
14 |
14 |
$560.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$264.64 |
| 90715 |
|
12 |
12 |
$262.44 |
| 90733 |
|
14 |
14 |
$252.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$242.93 |
| 90651 |
|
13 |
13 |
$234.00 |
| 90723 |
|
14 |
14 |
$234.00 |
| 90680 |
|
14 |
14 |
$234.00 |
| 90677 |
|
13 |
13 |
$225.00 |
| 90685 |
|
12 |
12 |
$216.00 |
| 90671 |
|
12 |
12 |
$216.00 |
| 81003 |
|
13 |
13 |
$22.00 |
| 90662 |
|
26 |
26 |
$3.56 |
| 99499 |
|
18 |
18 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
21 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |