| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
2,069 |
2,039 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
946 |
944 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,406 |
3,020 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,301 |
1,300 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,339 |
1,336 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,892 |
2,885 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,032 |
1,032 |
$3K |
| 92551 |
|
754 |
754 |
$2K |
| 99173 |
|
684 |
684 |
$469.80 |
| 83026 |
|
607 |
607 |
$448.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$398.58 |
| 81003 |
|
444 |
444 |
$183.18 |
| 90670 |
|
54 |
54 |
$117.00 |
| 90686 |
|
1,199 |
1,186 |
$81.00 |
| 90698 |
|
27 |
27 |
$72.00 |
| 86580 |
|
93 |
93 |
$43.55 |
| 83655 |
|
15 |
15 |
$33.64 |
| 90619 |
|
25 |
25 |
$18.00 |
| 90648 |
|
36 |
36 |
$18.00 |
| 90656 |
|
15 |
15 |
$9.00 |
| 90649 |
|
336 |
336 |
$9.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,168 |
2,894 |
$0.00 |
| 90716 |
|
40 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
30 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 90715 |
|
86 |
86 |
$0.00 |
| 90707 |
|
50 |
50 |
$0.00 |
| 90621 |
|
64 |
64 |
$0.00 |
| 90734 |
|
183 |
182 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
33 |
$0.00 |
| 90685 |
|
20 |
20 |
$0.00 |