| Code | Description | Claims | Beneficiaries | Total Paid |
| 96160 |
|
1,486 |
1,425 |
$30K |
| 99441 |
|
7,533 |
6,409 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,905 |
2,776 |
$942.27 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
527 |
516 |
$590.35 |
| 96127 |
|
704 |
672 |
$4.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
218 |
209 |
$0.01 |
| D0191 |
|
1,862 |
1,785 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
377 |
356 |
$0.00 |
| 83655 |
|
310 |
299 |
$0.00 |
| 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 |
255 |
237 |
$0.00 |
| 80061 |
Lipid panel |
345 |
334 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
575 |
553 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
798 |
771 |
$0.00 |
| 99401 |
|
1,751 |
1,683 |
$0.00 |
| 99408 |
|
343 |
325 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| 86580 |
|
936 |
901 |
$0.00 |
| 99406 |
|
343 |
325 |
$0.00 |
| 3008F |
|
309 |
275 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
307 |
290 |
$0.00 |
| 96156 |
|
120 |
116 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |