| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,973 |
3,479 |
$383K |
| 96156 |
|
1,930 |
1,876 |
$174K |
| 97802 |
|
2,865 |
2,784 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,398 |
1,240 |
$98K |
| 99072 |
|
2,265 |
2,152 |
$67K |
| 99177 |
|
1,670 |
1,638 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
682 |
667 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
756 |
717 |
$46K |
| 99401 |
|
930 |
924 |
$32K |
| G9920 |
Screening performed and negative |
980 |
969 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
521 |
477 |
$25K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
459 |
455 |
$25K |
| 99406 |
|
643 |
639 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
366 |
319 |
$21K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,120 |
1,102 |
$18K |
| 96150 |
|
489 |
488 |
$14K |
| 96151 |
|
563 |
560 |
$12K |
| 96127 |
|
196 |
196 |
$10K |
| 90686 |
|
716 |
707 |
$6K |
| 99383 |
|
83 |
83 |
$5K |
| 87110 |
|
241 |
238 |
$5K |
| 99384 |
|
60 |
60 |
$5K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
66 |
65 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
59 |
51 |
$3K |
| 90713 |
|
326 |
324 |
$3K |
| 90700 |
|
314 |
312 |
$3K |
| 90658 |
|
249 |
249 |
$2K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
15 |
15 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
64 |
$2K |
| 90656 |
|
183 |
180 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
44 |
42 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
40 |
$2K |
| 90670 |
|
149 |
149 |
$1K |
| 90651 |
|
122 |
121 |
$1K |
| 90648 |
|
114 |
113 |
$1K |
| D1206 |
Topical application of fluoride varnish |
41 |
40 |
$751.50 |
| 90734 |
|
66 |
65 |
$576.00 |
| 90715 |
|
62 |
62 |
$549.00 |
| 90744 |
|
60 |
59 |
$540.00 |
| 90716 |
|
53 |
53 |
$477.00 |
| 90707 |
|
53 |
53 |
$477.00 |
| 90633 |
|
47 |
47 |
$456.46 |
| 90680 |
|
44 |
44 |
$396.00 |
| 90655 |
|
36 |
36 |
$324.00 |
| 99173 |
|
13 |
13 |
$240.00 |
| H0049 |
Alcohol and/or drug screening |
17 |
17 |
$96.00 |