| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,008 |
822 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
778 |
636 |
$18K |
| 92551 |
|
2,660 |
2,153 |
$6K |
| G9920 |
Screening performed and negative |
709 |
699 |
$4K |
| 99173 |
|
1,811 |
1,803 |
$2K |
| 90658 |
|
400 |
396 |
$1K |
| 90657 |
|
260 |
235 |
$807.83 |
| 85018 |
|
1,881 |
1,498 |
$706.40 |
| 90649 |
|
297 |
246 |
$653.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,029 |
3,664 |
$407.30 |
| 96151 |
|
357 |
354 |
$406.07 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
709 |
707 |
$341.28 |
| 90791 |
Psychiatric diagnostic evaluation |
230 |
228 |
$337.73 |
| 92081 |
|
751 |
708 |
$315.56 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$307.05 |
| S9451 |
Exercise classes, non-physician provider, per session |
710 |
708 |
$218.48 |
| 96156 |
|
213 |
213 |
$200.00 |
| 90734 |
|
141 |
122 |
$195.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
747 |
744 |
$177.53 |
| 90686 |
|
92 |
91 |
$133.40 |
| S9470 |
Nutritional counseling, dietitian visit |
332 |
330 |
$117.65 |
| 97802 |
|
93 |
93 |
$57.33 |
| 90620 |
|
26 |
26 |
$32.40 |
| 81002 |
|
864 |
857 |
$29.72 |
| 97803 |
|
321 |
321 |
$0.00 |
| 4004F |
|
104 |
104 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$0.00 |
| 81000 |
|
499 |
470 |
$0.00 |
| 3008F |
|
292 |
292 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
30 |
30 |
$0.00 |