| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,582 |
15,020 |
$427K |
| 96156 |
|
5,267 |
5,184 |
$348K |
| 96167 |
|
2,875 |
2,837 |
$124K |
| G9920 |
Screening performed and negative |
3,471 |
3,432 |
$87K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,585 |
1,201 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,535 |
1,510 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,263 |
1,235 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
747 |
738 |
$44K |
| 92551 |
|
3,646 |
3,627 |
$34K |
| D1206 |
Topical application of fluoride varnish |
1,746 |
1,714 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
969 |
932 |
$31K |
| 96158 |
|
789 |
787 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
667 |
633 |
$30K |
| 97802 |
|
1,098 |
1,049 |
$26K |
| 97803 |
|
1,736 |
1,618 |
$23K |
| 90686 |
|
3,006 |
2,992 |
$23K |
| 96151 |
|
774 |
759 |
$14K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
803 |
800 |
$10K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
784 |
723 |
$10K |
| 90670 |
|
854 |
845 |
$7K |
| 90700 |
|
856 |
839 |
$7K |
| 96112 |
|
86 |
86 |
$7K |
| 90480 |
|
158 |
156 |
$6K |
| 96127 |
|
1,279 |
1,267 |
$5K |
| 90651 |
|
302 |
302 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,050 |
1,007 |
$4K |
| 90713 |
|
372 |
365 |
$3K |
| 90633 |
|
370 |
369 |
$3K |
| 90716 |
|
342 |
341 |
$3K |
| 90647 |
|
297 |
291 |
$3K |
| 90680 |
|
287 |
283 |
$2K |
| 90688 |
|
217 |
215 |
$2K |
| 80061 |
Lipid panel |
344 |
341 |
$2K |
| 90744 |
|
290 |
287 |
$2K |
| 90707 |
|
266 |
264 |
$2K |
| 94760 |
|
739 |
725 |
$2K |
| 91320 |
|
12 |
12 |
$2K |
| 0071A |
|
38 |
38 |
$2K |
| 90461 |
|
223 |
213 |
$1K |
| 91318 |
|
21 |
19 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 90685 |
|
106 |
105 |
$1K |
| 91319 |
|
12 |
12 |
$1K |
| 99173 |
|
490 |
479 |
$1K |
| 90734 |
|
64 |
64 |
$1K |
| 85018 |
|
434 |
415 |
$961.83 |
| 0003A |
|
22 |
22 |
$880.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
35 |
35 |
$872.76 |
| 83655 |
|
79 |
77 |
$831.69 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
203 |
203 |
$831.63 |
| 90698 |
|
90 |
90 |
$693.00 |
| 99381 |
|
12 |
12 |
$526.32 |
| 0081A |
|
12 |
12 |
$480.00 |
| 0073A |
|
12 |
12 |
$480.00 |
| 99188 |
|
288 |
286 |
$416.10 |
| 90656 |
|
76 |
76 |
$414.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$335.75 |
| 90648 |
|
52 |
52 |
$288.00 |
| 90671 |
|
48 |
47 |
$171.00 |
| 99406 |
|
16 |
16 |
$135.33 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$63.84 |