| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,517 |
9,302 |
$494K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,989 |
27,743 |
$439K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,987 |
9,576 |
$375K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,406 |
11,216 |
$351K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,634 |
6,435 |
$264K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40,597 |
38,660 |
$263K |
| 99381 |
|
2,679 |
2,616 |
$185K |
| G9920 |
Screening performed and negative |
14,787 |
14,690 |
$150K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,810 |
1,796 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,060 |
4,975 |
$83K |
| 97803 |
|
35,265 |
34,518 |
$77K |
| 99383 |
|
1,184 |
1,094 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,028 |
981 |
$48K |
| 92551 |
|
24,987 |
23,972 |
$46K |
| 97802 |
|
5,378 |
5,235 |
$36K |
| 99384 |
|
673 |
629 |
$36K |
| 99382 |
|
625 |
599 |
$29K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
21,942 |
21,150 |
$28K |
| 90670 |
|
9,034 |
8,961 |
$28K |
| 90680 |
|
5,891 |
5,841 |
$24K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,339 |
3,296 |
$23K |
| 99188 |
|
12,570 |
12,267 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,169 |
4,144 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
623 |
618 |
$19K |
| 90686 |
|
7,800 |
7,664 |
$18K |
| 90697 |
|
3,314 |
3,258 |
$17K |
| 90651 |
|
5,068 |
4,890 |
$16K |
| 85018 |
|
31,020 |
29,777 |
$15K |
| D1206 |
Topical application of fluoride varnish |
1,000 |
950 |
$14K |
| 90698 |
|
5,131 |
5,097 |
$14K |
| 0071A |
|
307 |
305 |
$12K |
| 90744 |
|
3,258 |
3,236 |
$11K |
| 0072A |
|
275 |
275 |
$11K |
| 99173 |
|
19,888 |
19,240 |
$11K |
| 90620 |
|
2,213 |
2,139 |
$10K |
| 90671 |
|
1,842 |
1,819 |
$10K |
| 90633 |
|
5,231 |
5,163 |
$9K |
| 90648 |
|
2,421 |
2,383 |
$8K |
| 86580 |
|
7,593 |
7,133 |
$8K |
| 96127 |
|
8,340 |
8,257 |
$8K |
| 99460 |
|
181 |
181 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
594 |
570 |
$8K |
| 90681 |
|
899 |
879 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
34,399 |
33,551 |
$6K |
| 81000 |
|
18,930 |
18,097 |
$6K |
| 99401 |
|
29,045 |
28,203 |
$6K |
| 90723 |
|
1,368 |
1,354 |
$6K |
| 90715 |
|
2,482 |
2,348 |
$5K |
| G9919 |
Screening performed and positive and provision of recommendations |
515 |
511 |
$5K |
| 90696 |
|
2,384 |
2,332 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
178 |
178 |
$4K |
| 90707 |
|
2,593 |
2,565 |
$4K |
| 90716 |
|
2,690 |
2,661 |
$4K |
| 90685 |
|
2,096 |
2,037 |
$3K |
| 90710 |
|
2,533 |
2,451 |
$3K |
| 90619 |
|
943 |
940 |
$3K |
| 90700 |
|
1,392 |
1,372 |
$3K |
| 0001A |
|
71 |
71 |
$3K |
| 90734 |
|
2,771 |
2,624 |
$3K |
| 0002A |
|
63 |
63 |
$3K |
| 87110 |
|
2,957 |
2,912 |
$2K |
| 81002 |
|
747 |
728 |
$1K |
| 99000 |
|
310 |
269 |
$1K |
| 80061 |
Lipid panel |
1,114 |
1,114 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
872 |
860 |
$893.96 |
| 0081A |
|
21 |
21 |
$840.00 |
| 0003A |
|
17 |
17 |
$670.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
39 |
39 |
$668.40 |
| 90656 |
|
367 |
363 |
$626.30 |
| 0073A |
|
13 |
13 |
$520.00 |
| 94760 |
|
2,145 |
2,058 |
$467.26 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
191 |
180 |
$266.25 |
| 92081 |
|
2,605 |
2,304 |
$172.13 |
| 96156 |
|
137 |
134 |
$162.05 |
| 90380 |
|
20 |
20 |
$144.00 |
| 69210 |
|
70 |
68 |
$94.36 |
| 99385 |
|
12 |
12 |
$91.77 |
| 90381 |
|
15 |
15 |
$81.00 |
| 90621 |
|
95 |
94 |
$59.04 |
| 90713 |
|
30 |
30 |
$55.08 |
| 99442 |
|
24 |
18 |
$26.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
31 |
$18.71 |
| 96160 |
|
628 |
624 |
$17.61 |
| 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 |
17 |
15 |
$17.50 |
| 80053 |
Comprehensive metabolic panel |
26 |
26 |
$16.54 |
| 84443 |
Thyroid stimulating hormone (TSH) |
24 |
24 |
$11.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$6.76 |
| 82947 |
|
23 |
23 |
$5.22 |
| 36416 |
|
1,289 |
1,281 |
$4.03 |
| 83540 |
|
21 |
21 |
$0.00 |
| 3078F |
|
35 |
35 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
127 |
123 |
$0.00 |
| 82728 |
|
22 |
22 |
$0.00 |
| 3074F |
|
36 |
36 |
$0.00 |
| 99441 |
|
53 |
52 |
$0.00 |