| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,969 |
12,789 |
$160K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,866 |
3,567 |
$138K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,918 |
4,734 |
$91K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,469 |
6,296 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,841 |
2,814 |
$54K |
| G9920 |
Screening performed and negative |
8,612 |
8,428 |
$42K |
| 96156 |
|
9,145 |
8,838 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,889 |
1,866 |
$36K |
| 97802 |
|
9,594 |
9,317 |
$33K |
| 90670 |
|
3,297 |
3,106 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
692 |
667 |
$22K |
| 99383 |
|
848 |
830 |
$19K |
| 92551 |
|
8,157 |
7,993 |
$17K |
| 90710 |
|
1,784 |
1,732 |
$17K |
| 90651 |
|
1,166 |
1,159 |
$17K |
| 80061 |
Lipid panel |
10,079 |
9,739 |
$13K |
| 99381 |
|
212 |
198 |
$12K |
| 90648 |
|
3,365 |
3,161 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,431 |
1,359 |
$11K |
| 90723 |
|
2,718 |
2,563 |
$10K |
| 90680 |
|
1,863 |
1,742 |
$8K |
| 99384 |
|
395 |
394 |
$7K |
| 99382 |
|
338 |
336 |
$7K |
| 90686 |
|
2,806 |
2,795 |
$5K |
| 99173 |
|
7,758 |
7,624 |
$4K |
| 90633 |
|
1,892 |
1,817 |
$4K |
| 96150 |
|
5,636 |
5,431 |
$4K |
| D1206 |
Topical application of fluoride varnish |
853 |
811 |
$3K |
| 83655 |
|
1,642 |
1,548 |
$3K |
| 90685 |
|
970 |
925 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
8,470 |
8,253 |
$2K |
| 96111 |
|
950 |
784 |
$2K |
| 90734 |
|
743 |
738 |
$2K |
| 90620 |
|
341 |
341 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
139 |
$2K |
| 90700 |
|
874 |
853 |
$2K |
| 99401 |
|
8,366 |
8,188 |
$2K |
| 99460 |
|
33 |
33 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,704 |
8,487 |
$1K |
| 90696 |
|
611 |
601 |
$882.00 |
| 96112 |
|
6,832 |
6,812 |
$789.00 |
| 90715 |
|
437 |
435 |
$765.54 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
33 |
$731.39 |
| 0012A |
|
20 |
14 |
$312.29 |
| 0011A |
|
22 |
15 |
$220.22 |
| 90681 |
|
76 |
76 |
$207.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
514 |
511 |
$202.20 |
| G9919 |
Screening performed and positive and provision of recommendations |
28 |
28 |
$174.00 |
| 90716 |
|
56 |
56 |
$117.27 |
| 90744 |
|
27 |
27 |
$27.00 |
| 90707 |
|
30 |
30 |
$18.00 |
| H0049 |
Alcohol and/or drug screening |
2,812 |
2,793 |
$14.40 |
| 90713 |
|
15 |
15 |
$9.00 |
| 99354 |
|
15 |
15 |
$0.00 |
| 91300 |
|
15 |
15 |
$0.00 |
| 99050 |
|
238 |
224 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |