| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,266 |
1,261 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,671 |
6,965 |
$28K |
| G9920 |
Screening performed and negative |
1,407 |
1,406 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
932 |
925 |
$22K |
| 92552 |
|
1,958 |
1,957 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,653 |
3,025 |
$15K |
| 90686 |
|
1,747 |
1,741 |
$10K |
| 92551 |
|
1,904 |
1,903 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
355 |
354 |
$7K |
| 90651 |
|
153 |
153 |
$6K |
| 99173 |
|
1,134 |
1,133 |
$2K |
| 92081 |
|
1,179 |
1,176 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$1K |
| 0071A |
|
31 |
31 |
$1K |
| 85018 |
|
1,066 |
1,034 |
$980.33 |
| 83026 |
|
333 |
332 |
$791.10 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,740 |
2,737 |
$645.45 |
| 90461 |
|
299 |
260 |
$507.28 |
| 0072A |
|
12 |
12 |
$480.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
189 |
$374.91 |
| 81003 |
|
116 |
115 |
$296.70 |
| 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 |
2,860 |
2,855 |
$256.00 |
| 90670 |
|
48 |
48 |
$246.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
521 |
521 |
$235.77 |
| 90734 |
|
87 |
87 |
$190.00 |
| 90685 |
|
12 |
12 |
$100.00 |
| 90671 |
|
26 |
26 |
$93.00 |
| 90688 |
|
26 |
26 |
$81.60 |
| 81002 |
|
167 |
167 |
$80.34 |
| 90633 |
|
12 |
12 |
$66.00 |
| 86580 |
|
21 |
21 |
$64.26 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
64 |
64 |
$55.64 |
| 90715 |
|
13 |
13 |
$36.00 |
| 90698 |
|
12 |
12 |
$36.00 |
| 90620 |
|
16 |
16 |
$18.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
24 |
$8.08 |
| 92499 |
|
213 |
213 |
$0.00 |
| 81000 |
|
15 |
15 |
$0.00 |