| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,906 |
19,379 |
$544K |
| 96156 |
|
7,794 |
7,765 |
$480K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,474 |
2,453 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,595 |
2,564 |
$108K |
| G9920 |
Screening performed and negative |
4,852 |
4,829 |
$88K |
| Z1034 |
|
1,564 |
972 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,479 |
1,471 |
$82K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,221 |
1,208 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,337 |
1,324 |
$58K |
| 96150 |
|
2,489 |
2,415 |
$56K |
| 92551 |
|
4,857 |
4,820 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
457 |
386 |
$41K |
| 0001A |
|
665 |
665 |
$26K |
| 99215 |
Prolong outpt/office vis |
211 |
210 |
$26K |
| Z1032 |
|
151 |
151 |
$24K |
| 0002A |
|
596 |
596 |
$23K |
| 90686 |
|
1,913 |
1,902 |
$21K |
| 90670 |
|
1,435 |
1,418 |
$17K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
237 |
170 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
167 |
167 |
$14K |
| J3490 |
Unclassified drugs |
186 |
164 |
$14K |
| 85018 |
|
7,450 |
7,375 |
$13K |
| 81000 |
|
5,201 |
5,156 |
$12K |
| 90698 |
|
1,238 |
1,224 |
$11K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,267 |
1,258 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
216 |
$10K |
| 90716 |
|
663 |
659 |
$10K |
| 90651 |
|
468 |
466 |
$9K |
| 0003A |
|
198 |
198 |
$8K |
| 90633 |
|
841 |
831 |
$7K |
| 90707 |
|
618 |
610 |
$7K |
| 88150 |
|
660 |
655 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
160 |
159 |
$6K |
| 96151 |
|
458 |
457 |
$6K |
| 90680 |
|
619 |
610 |
$6K |
| 90715 |
|
254 |
253 |
$5K |
| 92552 |
|
269 |
267 |
$5K |
| S0197 |
Prenatal vitamins, 30-day supply |
2,783 |
1,805 |
$4K |
| 90688 |
|
349 |
348 |
$4K |
| 99243 |
|
88 |
88 |
$4K |
| 90734 |
|
204 |
204 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
57 |
$4K |
| 90685 |
|
383 |
380 |
$3K |
| 90744 |
|
302 |
294 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
288 |
288 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
467 |
462 |
$2K |
| 81025 |
|
528 |
527 |
$1K |
| 36406 |
|
52 |
52 |
$1K |
| 0081A |
|
30 |
30 |
$1K |
| 90621 |
|
39 |
39 |
$1K |
| 0012A |
|
24 |
24 |
$960.00 |
| 0013A |
|
21 |
21 |
$840.00 |
| 90696 |
|
71 |
71 |
$728.78 |
| 83655 |
|
185 |
185 |
$617.78 |
| 90619 |
|
119 |
118 |
$612.00 |
| 80061 |
Lipid panel |
180 |
171 |
$607.43 |
| 0124A |
|
13 |
13 |
$520.00 |
| H0049 |
Alcohol and/or drug screening |
21 |
18 |
$488.00 |
| 99173 |
|
101 |
101 |
$482.00 |
| 82465 |
|
84 |
83 |
$290.99 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$262.50 |
| 90710 |
|
62 |
62 |
$243.00 |
| 90687 |
|
20 |
20 |
$180.00 |
| 90647 |
|
12 |
12 |
$170.82 |
| 90700 |
|
12 |
12 |
$108.00 |
| 86580 |
|
23 |
20 |
$85.04 |
| 3074F |
|
3,632 |
3,289 |
$23.48 |
| 3078F |
|
3,699 |
3,334 |
$0.00 |
| 3077F |
|
98 |
91 |
$0.00 |
| 3008F |
|
4,469 |
4,009 |
$0.00 |
| 3075F |
|
138 |
131 |
$0.00 |
| 3079F |
|
412 |
392 |
$0.00 |