| Code | Description | Claims | Beneficiaries | Total Paid |
| 96160 |
|
3,135 |
3,016 |
$2K |
| 99215 |
Prolong outpt/office vis |
8,260 |
7,124 |
$1K |
| 99460 |
|
19 |
17 |
$1K |
| 99464 |
|
18 |
16 |
$800.70 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,567 |
3,891 |
$771.90 |
| 99401 |
|
3,794 |
3,657 |
$310.94 |
| 99205 |
Prolong outpt/office vis |
485 |
463 |
$170.19 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,939 |
3,792 |
$142.76 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
624 |
591 |
$53.98 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
896 |
865 |
$52.92 |
| 96127 |
|
1,387 |
1,347 |
$34.76 |
| 86580 |
|
887 |
880 |
$25.95 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
539 |
525 |
$0.00 |
| 85014 |
|
298 |
281 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
321 |
307 |
$0.00 |
| 99408 |
|
15 |
14 |
$0.00 |
| 99173 |
|
116 |
116 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
14 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 3008F |
|
241 |
239 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
370 |
357 |
$0.00 |
| 85018 |
|
282 |
267 |
$0.00 |
| 99402 |
|
28 |
27 |
$0.00 |