| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,543 |
1,543 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,481 |
4,005 |
$101K |
| 97802 |
|
2,790 |
2,785 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
820 |
820 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
755 |
754 |
$42K |
| 92551 |
|
2,476 |
2,459 |
$31K |
| 96150 |
|
1,404 |
1,397 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,660 |
1,557 |
$27K |
| G9920 |
Screening performed and negative |
676 |
674 |
$19K |
| 87110 |
|
1,057 |
1,057 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
370 |
370 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,010 |
1,002 |
$12K |
| 90688 |
|
678 |
676 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
79 |
78 |
$10K |
| 87070 |
|
1,018 |
1,018 |
$8K |
| 90686 |
|
805 |
804 |
$7K |
| 85014 |
|
2,814 |
2,809 |
$7K |
| 81000 |
|
2,372 |
2,222 |
$7K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
422 |
422 |
$7K |
| 80061 |
Lipid panel |
529 |
528 |
$6K |
| 86580 |
|
1,161 |
1,149 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
68 |
55 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
151 |
150 |
$5K |
| 96127 |
|
1,294 |
1,292 |
$4K |
| D1206 |
Topical application of fluoride varnish |
199 |
199 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
116 |
115 |
$4K |
| 90715 |
|
233 |
233 |
$3K |
| 96151 |
|
223 |
223 |
$3K |
| 82465 |
|
618 |
616 |
$3K |
| 82947 |
|
714 |
665 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
366 |
344 |
$2K |
| 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 |
442 |
416 |
$2K |
| 90700 |
|
144 |
142 |
$1K |
| 90734 |
|
123 |
123 |
$1K |
| 90670 |
|
58 |
57 |
$1K |
| 99429 |
|
56 |
56 |
$1K |
| 90651 |
|
53 |
53 |
$1K |
| 90685 |
|
91 |
91 |
$819.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
107 |
$781.28 |
| 90621 |
|
41 |
41 |
$503.98 |
| 90713 |
|
53 |
52 |
$477.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
48 |
48 |
$460.10 |
| 99499 |
|
24 |
24 |
$412.00 |
| 81002 |
|
141 |
129 |
$402.04 |
| 99173 |
|
176 |
175 |
$391.74 |
| 90648 |
|
43 |
42 |
$387.00 |
| 3078F |
|
161 |
160 |
$293.28 |
| 3008F |
|
478 |
472 |
$228.77 |
| 90658 |
|
17 |
17 |
$180.18 |
| 90633 |
|
13 |
13 |
$117.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 |
62 |
62 |
$70.98 |
| 85013 |
|
23 |
23 |
$66.17 |
| 3074F |
|
112 |
111 |
$24.00 |
| 99072 |
|
257 |
207 |
$0.00 |