| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
2,672 |
2,650 |
$29K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
102 |
102 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,740 |
3,373 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,321 |
1,254 |
$587.17 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
86 |
86 |
$274.72 |
| G9920 |
Screening performed and negative |
1,696 |
1,686 |
$172.26 |
| 90686 |
|
1,349 |
1,337 |
$147.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,447 |
2,366 |
$104.84 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,232 |
1,222 |
$91.17 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
873 |
869 |
$77.74 |
| 86580 |
|
766 |
759 |
$66.90 |
| 90670 |
|
111 |
110 |
$18.02 |
| 90685 |
|
41 |
41 |
$18.00 |
| 90633 |
|
36 |
36 |
$12.00 |
| 85018 |
|
1,704 |
1,696 |
$10.71 |
| 90723 |
|
60 |
60 |
$6.17 |
| 90648 |
|
138 |
138 |
$6.02 |
| 90651 |
|
29 |
29 |
$6.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
454 |
452 |
$0.00 |
| 90656 |
|
35 |
35 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
37 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |
| 96127 |
|
123 |
123 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
46 |
46 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
259 |
255 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
636 |
635 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
227 |
222 |
$0.00 |
| 99173 |
|
128 |
128 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90734 |
|
68 |
68 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
66 |
66 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |