| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,450 |
6,376 |
$272K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,814 |
7,143 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,753 |
2,532 |
$47K |
| 99188 |
|
1,968 |
1,956 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,026 |
1,019 |
$29K |
| 96127 |
|
4,636 |
4,575 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,140 |
1,138 |
$25K |
| 90656 |
|
2,004 |
1,996 |
$22K |
| 99429 |
|
935 |
924 |
$22K |
| 94010 |
|
675 |
635 |
$20K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
651 |
641 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
355 |
330 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
960 |
943 |
$17K |
| 94016 |
|
652 |
617 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
237 |
230 |
$16K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
740 |
739 |
$15K |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
647 |
647 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
660 |
657 |
$11K |
| 90686 |
|
1,032 |
1,025 |
$11K |
| 92551 |
|
4,273 |
4,249 |
$9K |
| 99354 |
|
123 |
116 |
$9K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
74 |
71 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,344 |
1,266 |
$6K |
| 90651 |
|
320 |
314 |
$6K |
| 90670 |
|
510 |
497 |
$6K |
| 99406 |
|
432 |
431 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,233 |
3,040 |
$5K |
| 90480 |
|
141 |
141 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
187 |
187 |
$4K |
| D1206 |
Topical application of fluoride varnish |
160 |
160 |
$4K |
| 97802 |
|
93 |
92 |
$3K |
| 90655 |
|
284 |
283 |
$3K |
| 90734 |
|
275 |
275 |
$3K |
| 99381 |
|
31 |
26 |
$2K |
| 86580 |
|
3,421 |
3,358 |
$2K |
| 91321 |
|
56 |
56 |
$2K |
| 90680 |
|
124 |
121 |
$2K |
| 90633 |
|
154 |
154 |
$2K |
| 90698 |
|
129 |
129 |
$1K |
| 90744 |
|
129 |
128 |
$1K |
| 90620 |
|
122 |
122 |
$1K |
| 91322 |
|
25 |
25 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
58 |
55 |
$874.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,878 |
4,811 |
$874.41 |
| 91320 |
|
58 |
58 |
$771.10 |
| 99407 |
|
30 |
30 |
$735.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
464 |
444 |
$566.92 |
| 90710 |
|
40 |
39 |
$447.48 |
| 90649 |
|
14 |
14 |
$293.91 |
| 90685 |
|
26 |
26 |
$285.05 |
| 99383 |
|
12 |
12 |
$275.32 |
| 90700 |
|
26 |
26 |
$265.67 |
| 99382 |
|
14 |
14 |
$184.63 |
| 90707 |
|
14 |
14 |
$154.98 |
| 90648 |
|
14 |
14 |
$148.34 |
| 90713 |
|
13 |
12 |
$133.53 |
| 90716 |
|
13 |
13 |
$132.84 |
| 91319 |
|
17 |
17 |
$65.84 |
| 99401 |
|
460 |
460 |
$23.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
169 |
167 |
$4.01 |
| 90461 |
|
656 |
646 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
28 |
28 |
$0.00 |