| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
9,886 |
8,205 |
$129K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,754 |
3,466 |
$120K |
| 92551 |
|
11,114 |
8,725 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,827 |
2,549 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,032 |
1,892 |
$79K |
| 99215 |
Prolong outpt/office vis |
5,483 |
4,987 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,716 |
1,418 |
$47K |
| G9920 |
Screening performed and negative |
1,663 |
1,586 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
912 |
863 |
$23K |
| 96156 |
|
1,080 |
1,009 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
439 |
353 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
246 |
202 |
$13K |
| 99205 |
Prolong outpt/office vis |
146 |
144 |
$13K |
| 90680 |
|
139 |
117 |
$10K |
| 81000 |
|
1,380 |
1,331 |
$9K |
| 90658 |
|
832 |
814 |
$7K |
| 99381 |
|
57 |
56 |
$6K |
| 85018 |
|
1,247 |
1,218 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
859 |
819 |
$3K |
| 90700 |
|
234 |
228 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
35 |
13 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
294 |
281 |
$2K |
| 92015 |
Determination of refractive state |
364 |
290 |
$2K |
| 90647 |
|
192 |
186 |
$2K |
| 90670 |
|
184 |
184 |
$2K |
| 90713 |
|
130 |
129 |
$1K |
| 96127 |
|
489 |
462 |
$867.41 |
| 90744 |
|
87 |
87 |
$783.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$620.70 |
| 92002 |
|
16 |
14 |
$588.48 |
| 90657 |
|
44 |
44 |
$404.52 |
| 90723 |
|
15 |
15 |
$293.06 |
| 90649 |
|
25 |
25 |
$292.64 |
| 1036F |
|
131 |
129 |
$275.37 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
87 |
85 |
$273.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
61 |
$251.92 |
| 90633 |
|
13 |
13 |
$170.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
20 |
$118.44 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
114 |
112 |
$73.10 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$73.10 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
65 |
63 |
$71.20 |
| 99490 |
Ccm add 20min |
104 |
97 |
$44.66 |
| 99443 |
|
12 |
12 |
$27.70 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
86 |
84 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
25 |
24 |
$0.00 |
| 99484 |
|
13 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
81 |
80 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
114 |
108 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
17 |
$0.00 |
| 99383 |
|
15 |
14 |
$0.00 |
| 99384 |
|
17 |
17 |
$0.00 |
| 99401 |
|
38 |
38 |
$0.00 |
| 90461 |
|
48 |
28 |
$0.00 |
| 99408 |
|
32 |
31 |
$0.00 |