| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
882 |
880 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
723 |
723 |
$13K |
| G9920 |
Screening performed and negative |
2,067 |
2,060 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
806 |
797 |
$11K |
| 92551 |
|
2,693 |
2,682 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
101 |
$4K |
| 90686 |
|
1,127 |
1,127 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,592 |
2,457 |
$3K |
| 81000 |
|
2,543 |
2,533 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,868 |
4,397 |
$2K |
| 85018 |
|
2,582 |
2,572 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,548 |
1,524 |
$2K |
| 90670 |
|
319 |
317 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
120 |
118 |
$875.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
185 |
182 |
$465.98 |
| 90633 |
|
116 |
113 |
$279.00 |
| 90698 |
|
29 |
29 |
$261.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
63 |
$212.75 |
| 90651 |
|
137 |
137 |
$198.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
19 |
$185.84 |
| 92081 |
|
2,356 |
2,346 |
$160.28 |
| 90744 |
|
16 |
16 |
$144.00 |
| 90680 |
|
13 |
13 |
$117.00 |
| 90734 |
|
80 |
79 |
$117.00 |
| 90648 |
|
15 |
15 |
$63.00 |
| 90620 |
|
44 |
44 |
$54.00 |
| 90700 |
|
14 |
14 |
$54.00 |
| 90715 |
|
12 |
12 |
$18.00 |
| 96127 |
|
440 |
440 |
$8.92 |
| 3351F |
|
83 |
83 |
$0.00 |
| 3008F |
|
1,746 |
1,740 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,328 |
2,320 |
$0.00 |
| 1220F |
|
116 |
116 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
82 |
82 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,992 |
1,986 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
285 |
284 |
$0.00 |
| 4004F |
|
65 |
65 |
$0.00 |
| 99173 |
|
38 |
38 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |