| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
607 |
601 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
220 |
202 |
$3K |
| 92552 |
|
1,074 |
1,056 |
$2K |
| 97802 |
|
1,303 |
1,295 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
155 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
160 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
604 |
569 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
68 |
$1K |
| 96127 |
|
703 |
644 |
$692.64 |
| 90651 |
|
14 |
14 |
$417.16 |
| 96160 |
|
1,034 |
954 |
$348.75 |
| 99173 |
|
1,018 |
1,002 |
$294.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$186.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
74 |
$182.86 |
| 90688 |
|
23 |
23 |
$66.90 |
| 90672 |
|
64 |
64 |
$0.00 |
| 90461 |
|
42 |
42 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
412 |
388 |
$0.00 |
| 96156 |
|
486 |
481 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
454 |
430 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
82 |
82 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,069 |
1,063 |
$0.00 |
| 90686 |
|
267 |
267 |
$0.00 |
| 99406 |
|
16 |
16 |
$0.00 |