| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,683 |
12,218 |
$436K |
| 96156 |
|
4,812 |
4,767 |
$266K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,143 |
4,768 |
$202K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,534 |
2,448 |
$140K |
| 96167 |
|
3,575 |
3,539 |
$130K |
| 96158 |
|
4,043 |
4,007 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,554 |
1,542 |
$86K |
| 97803 |
|
5,282 |
5,252 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,754 |
1,739 |
$77K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,514 |
5,490 |
$75K |
| G9920 |
Screening performed and negative |
3,513 |
3,501 |
$68K |
| 97802 |
|
1,962 |
1,882 |
$67K |
| 96154 |
|
3,870 |
3,605 |
$62K |
| 99215 |
Prolong outpt/office vis |
1,060 |
949 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,321 |
1,305 |
$54K |
| 92551 |
|
4,559 |
4,542 |
$48K |
| 96150 |
|
1,489 |
1,461 |
$34K |
| 96151 |
|
1,201 |
1,190 |
$27K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,972 |
1,963 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
576 |
556 |
$23K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
936 |
933 |
$20K |
| 80061 |
Lipid panel |
1,963 |
1,958 |
$19K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,216 |
1,213 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
236 |
232 |
$18K |
| 90686 |
|
1,973 |
1,969 |
$15K |
| 96152 |
|
631 |
605 |
$11K |
| 96127 |
|
2,570 |
2,526 |
$10K |
| 99401 |
|
462 |
445 |
$8K |
| S9470 |
Nutritional counseling, dietitian visit |
353 |
351 |
$6K |
| S9449 |
Weight management classes, non-physician provider, per session |
264 |
264 |
$5K |
| S9451 |
Exercise classes, non-physician provider, per session |
266 |
266 |
$5K |
| S9452 |
Nutrition classes, non-physician provider, per session |
263 |
263 |
$5K |
| 99177 |
|
491 |
488 |
$5K |
| 90651 |
|
578 |
575 |
$4K |
| 81000 |
|
1,203 |
1,201 |
$3K |
| 90670 |
|
357 |
354 |
$3K |
| 90656 |
|
412 |
412 |
$3K |
| 90734 |
|
274 |
271 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
482 |
475 |
$2K |
| 85018 |
|
1,176 |
1,175 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
283 |
222 |
$2K |
| 99415 |
Prolong outpt/office vis |
151 |
148 |
$2K |
| 90621 |
|
252 |
251 |
$2K |
| 99173 |
|
1,036 |
1,015 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90698 |
|
191 |
186 |
$1K |
| 90671 |
|
116 |
113 |
$1K |
| H0049 |
Alcohol and/or drug screening |
93 |
92 |
$1K |
| 90700 |
|
116 |
115 |
$837.00 |
| 90680 |
|
105 |
103 |
$819.00 |
| 92552 |
|
87 |
87 |
$758.31 |
| 90716 |
|
81 |
78 |
$630.00 |
| 90480 |
|
15 |
15 |
$600.00 |
| 0072A |
|
19 |
19 |
$570.00 |
| 0071A |
|
18 |
18 |
$550.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
22 |
$523.35 |
| 90707 |
|
56 |
54 |
$495.00 |
| 90633 |
|
70 |
68 |
$495.00 |
| 90658 |
|
39 |
39 |
$351.00 |
| 85999 |
|
115 |
115 |
$346.15 |
| 90619 |
|
119 |
119 |
$333.00 |
| 90715 |
|
33 |
33 |
$292.16 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$262.22 |
| 90744 |
|
40 |
37 |
$171.00 |
| 81002 |
|
17 |
16 |
$144.99 |
| 90655 |
|
12 |
12 |
$108.00 |
| 90677 |
|
41 |
41 |
$63.00 |