| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,329 |
5,299 |
$330K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,181 |
8,281 |
$290K |
| 96156 |
|
4,870 |
4,809 |
$253K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,256 |
2,253 |
$140K |
| 97802 |
|
4,941 |
4,928 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,011 |
2,003 |
$105K |
| G9920 |
Screening performed and negative |
3,710 |
3,700 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,180 |
3,078 |
$64K |
| 92551 |
|
4,964 |
4,945 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,100 |
1,092 |
$41K |
| 96151 |
|
1,343 |
1,340 |
$30K |
| 90686 |
|
1,584 |
1,580 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
629 |
612 |
$12K |
| 81000 |
|
4,942 |
4,919 |
$11K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
665 |
664 |
$10K |
| 85018 |
|
4,941 |
4,919 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
309 |
196 |
$9K |
| 96127 |
|
1,812 |
1,807 |
$5K |
| 90672 |
|
599 |
597 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
87 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
297 |
265 |
$4K |
| 90700 |
|
420 |
419 |
$3K |
| 90619 |
|
354 |
354 |
$2K |
| 90674 |
|
312 |
312 |
$2K |
| 90651 |
|
298 |
298 |
$2K |
| 90734 |
|
143 |
143 |
$1K |
| 90713 |
|
216 |
214 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 90688 |
|
85 |
85 |
$765.00 |
| 90648 |
|
105 |
105 |
$747.89 |
| 90670 |
|
105 |
102 |
$702.00 |
| 90715 |
|
130 |
130 |
$504.00 |
| 90685 |
|
51 |
51 |
$459.00 |
| 86580 |
|
79 |
79 |
$341.44 |
| 83655 |
|
40 |
39 |
$337.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$274.08 |
| 96150 |
|
12 |
12 |
$259.61 |
| 90661 |
|
79 |
79 |
$216.00 |
| 90707 |
|
24 |
24 |
$198.00 |
| 90677 |
|
54 |
54 |
$180.00 |
| 90633 |
|
59 |
59 |
$180.00 |
| 90660 |
|
78 |
78 |
$171.00 |
| 90744 |
|
14 |
14 |
$139.50 |
| 90656 |
|
48 |
48 |
$81.00 |
| 99383 |
|
12 |
12 |
$70.73 |
| 99188 |
|
15 |
15 |
$0.00 |