| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
18,720 |
18,424 |
$547K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,707 |
19,727 |
$296K |
| 96112 |
|
13,920 |
13,644 |
$258K |
| G9920 |
Screening performed and negative |
22,317 |
21,929 |
$255K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,962 |
4,883 |
$215K |
| 97802 |
|
21,389 |
20,871 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,872 |
4,820 |
$129K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,805 |
1,790 |
$105K |
| 90697 |
|
1,662 |
1,591 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,544 |
2,521 |
$88K |
| 99383 |
|
2,151 |
2,140 |
$77K |
| 99384 |
|
1,794 |
1,782 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,936 |
1,923 |
$59K |
| 90670 |
|
3,195 |
3,087 |
$58K |
| 99382 |
|
1,283 |
1,270 |
$52K |
| 99381 |
|
731 |
719 |
$46K |
| 90651 |
|
1,416 |
1,399 |
$33K |
| 92551 |
|
11,374 |
11,207 |
$32K |
| 80061 |
Lipid panel |
12,090 |
11,878 |
$28K |
| 90671 |
|
827 |
793 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,632 |
2,546 |
$21K |
| 90620 |
|
1,038 |
1,026 |
$20K |
| 90680 |
|
2,633 |
2,555 |
$17K |
| 90710 |
|
1,295 |
1,267 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,471 |
3,052 |
$15K |
| 92081 |
|
8,401 |
8,305 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,311 |
9,692 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
446 |
431 |
$10K |
| 90633 |
|
2,374 |
2,290 |
$6K |
| 90744 |
|
1,671 |
1,631 |
$6K |
| 90698 |
|
1,943 |
1,883 |
$6K |
| 90686 |
|
3,447 |
3,393 |
$5K |
| 90677 |
|
332 |
327 |
$4K |
| 83655 |
|
856 |
852 |
$3K |
| 90619 |
|
543 |
537 |
$3K |
| 90700 |
|
1,202 |
1,165 |
$3K |
| 90716 |
|
690 |
680 |
$3K |
| 90649 |
|
175 |
175 |
$3K |
| 99385 |
|
78 |
78 |
$3K |
| 90461 |
|
2,203 |
2,099 |
$3K |
| 90480 |
|
165 |
117 |
$3K |
| 91321 |
|
145 |
112 |
$2K |
| 90715 |
|
755 |
747 |
$2K |
| 0071A |
|
119 |
90 |
$2K |
| 90656 |
|
416 |
412 |
$2K |
| 0072A |
|
106 |
80 |
$2K |
| 90648 |
|
785 |
762 |
$2K |
| 90696 |
|
560 |
553 |
$2K |
| 90734 |
|
828 |
821 |
$2K |
| 90681 |
|
195 |
183 |
$1K |
| 90707 |
|
452 |
443 |
$1K |
| 0081A |
|
39 |
31 |
$880.00 |
| 99401 |
|
1,880 |
1,872 |
$810.40 |
| 85018 |
|
1,026 |
1,015 |
$678.22 |
| 96150 |
|
868 |
799 |
$608.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$602.23 |
| 87430 |
|
280 |
276 |
$575.95 |
| 90672 |
|
163 |
155 |
$524.97 |
| G9919 |
Screening performed and positive and provision of recommendations |
43 |
43 |
$465.45 |
| 0082A |
|
24 |
15 |
$440.00 |
| 90713 |
|
111 |
110 |
$415.62 |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
51 |
$267.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
791 |
763 |
$236.40 |
| 69210 |
|
151 |
132 |
$230.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
457 |
420 |
$210.13 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
470 |
467 |
$175.55 |
| 99173 |
|
492 |
479 |
$147.44 |
| 92552 |
|
75 |
67 |
$76.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
97 |
$36.31 |
| 36415 |
Collection of venous blood by venipuncture |
344 |
265 |
$29.57 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
502 |
492 |
$22.04 |
| 81003 |
|
51 |
43 |
$13.70 |
| 81002 |
|
171 |
155 |
$2.58 |
| 96127 |
|
19 |
17 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
125 |
94 |
$0.00 |
| 99408 |
|
690 |
663 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
35 |
32 |
$0.00 |
| 90473 |
|
44 |
44 |
$0.00 |
| 91322 |
|
28 |
17 |
$0.00 |