| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
4,318 |
4,307 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,902 |
2,735 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,988 |
1,985 |
$25K |
| 92551 |
|
3,599 |
3,596 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
418 |
404 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
895 |
895 |
$10K |
| 90686 |
|
3,028 |
3,002 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,957 |
1,876 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
160 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,188 |
658 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,805 |
1,738 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
288 |
287 |
$4K |
| 0072A |
|
86 |
86 |
$3K |
| 0071A |
|
86 |
86 |
$3K |
| 90648 |
|
772 |
769 |
$2K |
| 90670 |
|
739 |
736 |
$2K |
| 90723 |
|
413 |
412 |
$1K |
| 99173 |
|
3,054 |
3,054 |
$1K |
| 90680 |
|
286 |
283 |
$1K |
| 99381 |
|
27 |
27 |
$981.20 |
| 0002A |
|
23 |
23 |
$920.00 |
| 90480 |
|
35 |
27 |
$690.00 |
| 83655 |
|
144 |
143 |
$550.02 |
| 0001A |
|
13 |
13 |
$520.00 |
| 99383 |
|
68 |
68 |
$474.79 |
| 90633 |
|
234 |
234 |
$468.00 |
| 99188 |
|
103 |
103 |
$339.66 |
| 99382 |
|
66 |
66 |
$327.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
263 |
257 |
$300.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
28 |
$239.60 |
| 90677 |
|
44 |
40 |
$225.00 |
| 99000 |
|
419 |
418 |
$168.85 |
| 90672 |
|
87 |
87 |
$104.06 |
| 96151 |
|
127 |
127 |
$91.98 |
| 90688 |
|
76 |
76 |
$90.00 |
| 90685 |
|
88 |
86 |
$90.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
64 |
64 |
$79.15 |
| 96150 |
|
62 |
62 |
$76.50 |
| 90651 |
|
46 |
45 |
$72.00 |
| 90700 |
|
40 |
40 |
$63.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
59 |
$45.92 |
| 90734 |
|
40 |
39 |
$45.00 |
| 90696 |
|
12 |
12 |
$36.00 |
| 90710 |
|
14 |
13 |
$36.00 |
| 90715 |
|
12 |
12 |
$36.00 |
| 90707 |
|
13 |
13 |
$18.00 |
| 90716 |
|
13 |
13 |
$9.00 |
| 90661 |
|
87 |
86 |
$9.00 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
31 |
$0.00 |
| 87110 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |