| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
1,771 |
1,760 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,907 |
3,488 |
$38K |
| 96156 |
|
1,949 |
1,946 |
$18K |
| 90651 |
|
210 |
207 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
965 |
949 |
$10K |
| 97802 |
|
3,056 |
3,033 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
683 |
665 |
$7K |
| 92552 |
|
3,214 |
3,193 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
250 |
244 |
$4K |
| 90686 |
|
2,013 |
2,003 |
$3K |
| 90688 |
|
187 |
186 |
$2K |
| 0072A |
|
68 |
61 |
$2K |
| 99381 |
|
27 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
459 |
442 |
$2K |
| 0071A |
|
65 |
62 |
$2K |
| 0004A |
|
60 |
59 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
629 |
626 |
$2K |
| 90619 |
|
14 |
14 |
$2K |
| 92081 |
|
2,252 |
2,233 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,335 |
2,313 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$909.06 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
474 |
466 |
$907.32 |
| 90700 |
|
143 |
141 |
$467.09 |
| 90648 |
|
123 |
121 |
$459.00 |
| 90670 |
|
118 |
118 |
$441.00 |
| 90734 |
|
144 |
141 |
$396.81 |
| 90480 |
|
140 |
140 |
$360.00 |
| 90713 |
|
65 |
65 |
$317.61 |
| 90680 |
|
38 |
38 |
$257.60 |
| 90620 |
|
357 |
356 |
$241.46 |
| 90716 |
|
45 |
45 |
$162.00 |
| 85014 |
|
3,363 |
3,332 |
$150.43 |
| 90723 |
|
24 |
24 |
$135.00 |
| 91320 |
|
44 |
44 |
$131.10 |
| 90707 |
|
30 |
30 |
$126.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,116 |
2,092 |
$60.34 |
| 90633 |
|
14 |
14 |
$54.00 |
| 90715 |
|
24 |
23 |
$45.00 |
| 96160 |
|
1,808 |
1,802 |
$36.00 |
| 99406 |
|
249 |
249 |
$13.37 |
| 90660 |
|
26 |
26 |
$9.00 |
| 99401 |
|
348 |
343 |
$0.00 |
| 99173 |
|
463 |
462 |
$0.00 |
| 90461 |
|
189 |
187 |
$0.00 |
| 90661 |
|
62 |
62 |
$0.00 |
| 91319 |
|
23 |
23 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |