| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
2,242 |
2,223 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,935 |
2,441 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,887 |
1,694 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
798 |
796 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
640 |
622 |
$17K |
| 97802 |
|
2,928 |
2,903 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
593 |
590 |
$13K |
| 92552 |
|
1,755 |
1,748 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
269 |
245 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,721 |
2,309 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
884 |
874 |
$8K |
| 96150 |
|
1,336 |
1,318 |
$8K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
929 |
924 |
$4K |
| 90686 |
|
643 |
635 |
$3K |
| 92551 |
|
812 |
806 |
$3K |
| 99173 |
|
2,262 |
2,248 |
$2K |
| 90700 |
|
209 |
208 |
$968.00 |
| 90713 |
|
118 |
117 |
$599.00 |
| 90648 |
|
123 |
123 |
$585.00 |
| 90670 |
|
121 |
121 |
$569.00 |
| 90651 |
|
71 |
71 |
$556.64 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
482 |
479 |
$436.65 |
| 90461 |
|
668 |
634 |
$374.04 |
| 90633 |
|
68 |
66 |
$241.00 |
| 90680 |
|
18 |
18 |
$108.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
601 |
596 |
$98.08 |
| 90734 |
|
39 |
39 |
$94.00 |
| 99408 |
|
866 |
860 |
$90.00 |
| 90715 |
|
12 |
12 |
$84.00 |
| 90716 |
|
42 |
41 |
$72.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
479 |
476 |
$68.68 |
| 90744 |
|
14 |
13 |
$45.00 |
| 96127 |
|
241 |
241 |
$42.84 |
| 97803 |
|
51 |
50 |
$27.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
34 |
$19.55 |
| 90707 |
|
14 |
13 |
$9.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
22 |
$0.00 |