| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,328 |
1,301 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,158 |
1,998 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
611 |
564 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
316 |
296 |
$19K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,031 |
994 |
$11K |
| 96167 |
|
130 |
116 |
$10K |
| 90686 |
|
936 |
930 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
169 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,302 |
1,284 |
$7K |
| 96151 |
|
314 |
311 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
84 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
67 |
$3K |
| 90670 |
|
90 |
90 |
$3K |
| 97803 |
|
66 |
66 |
$2K |
| 85018 |
|
470 |
463 |
$901.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
18 |
$481.99 |
| 92551 |
|
29 |
29 |
$406.00 |
| 90651 |
|
41 |
41 |
$369.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
31 |
$355.00 |
| 90698 |
|
25 |
25 |
$216.00 |
| 90734 |
|
18 |
17 |
$162.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
385 |
188 |
$0.00 |
| 96160 |
|
1,074 |
1,036 |
$0.00 |
| G9920 |
Screening performed and negative |
361 |
355 |
$0.00 |
| 99401 |
|
145 |
141 |
$0.00 |
| 99173 |
|
29 |
29 |
$0.00 |
| 96161 |
|
16 |
16 |
$0.00 |