| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,045 |
2,018 |
$91K |
| G9920 |
Screening performed and negative |
3,354 |
3,333 |
$63K |
| 96156 |
|
4,381 |
4,331 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,815 |
1,763 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,562 |
6,780 |
$52K |
| 96150 |
|
3,907 |
3,839 |
$51K |
| 97802 |
|
2,997 |
2,933 |
$32K |
| H0049 |
Alcohol and/or drug screening |
1,337 |
1,322 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,147 |
3,090 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,501 |
2,477 |
$19K |
| 90670 |
|
1,848 |
1,827 |
$18K |
| 90686 |
|
2,136 |
2,130 |
$16K |
| 90651 |
|
702 |
687 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,561 |
1,546 |
$13K |
| 99381 |
|
259 |
250 |
$12K |
| 90648 |
|
1,853 |
1,822 |
$12K |
| 90723 |
|
1,471 |
1,453 |
$10K |
| 90710 |
|
825 |
814 |
$8K |
| 92551 |
|
6,285 |
6,231 |
$8K |
| 90680 |
|
1,081 |
1,072 |
$8K |
| 99460 |
|
155 |
152 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
732 |
726 |
$7K |
| 90633 |
|
1,112 |
1,084 |
$7K |
| 80061 |
Lipid panel |
1,901 |
1,813 |
$6K |
| D1206 |
Topical application of fluoride varnish |
311 |
307 |
$5K |
| 83655 |
|
786 |
763 |
$5K |
| 90734 |
|
540 |
535 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
114 |
111 |
$4K |
| 99383 |
|
97 |
90 |
$3K |
| 90685 |
|
370 |
363 |
$2K |
| 90620 |
|
113 |
111 |
$2K |
| 90696 |
|
314 |
311 |
$2K |
| 90715 |
|
211 |
211 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
530 |
522 |
$2K |
| 90716 |
|
49 |
45 |
$1K |
| 99382 |
|
44 |
43 |
$1K |
| 90700 |
|
175 |
174 |
$945.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,950 |
1,914 |
$914.53 |
| 96111 |
|
293 |
238 |
$877.60 |
| 0071A |
|
48 |
48 |
$813.12 |
| 0002A |
|
29 |
29 |
$766.53 |
| 0072A |
|
19 |
19 |
$729.41 |
| 99401 |
|
1,888 |
1,854 |
$602.20 |
| 0001A |
|
32 |
32 |
$542.08 |
| 99384 |
|
12 |
12 |
$427.80 |
| 0011A |
|
54 |
46 |
$406.56 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
23 |
23 |
$310.00 |
| 0012A |
|
23 |
16 |
$198.73 |
| 96112 |
|
1,695 |
1,689 |
$195.00 |
| 90707 |
|
30 |
30 |
$144.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,914 |
1,878 |
$121.28 |
| 99173 |
|
952 |
927 |
$22.58 |
| 91301 |
|
53 |
52 |
$0.00 |
| 99050 |
|
22 |
21 |
$0.00 |