| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,625 |
1,617 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,042 |
2,940 |
$111K |
| 99215 |
Prolong outpt/office vis |
1,538 |
1,470 |
$83K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
566 |
561 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
918 |
913 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,515 |
2,426 |
$64K |
| 92551 |
|
2,359 |
2,351 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
628 |
625 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
617 |
613 |
$28K |
| G9920 |
Screening performed and negative |
730 |
726 |
$21K |
| 90686 |
|
1,460 |
1,456 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
154 |
116 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
958 |
955 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
155 |
$9K |
| 96150 |
|
343 |
342 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
112 |
110 |
$7K |
| 90620 |
|
281 |
279 |
$7K |
| 96151 |
|
232 |
229 |
$5K |
| 90670 |
|
433 |
431 |
$4K |
| 90734 |
|
282 |
281 |
$4K |
| 85018 |
|
1,512 |
1,505 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
87 |
85 |
$3K |
| 97802 |
|
78 |
78 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
109 |
$2K |
| 81000 |
|
692 |
662 |
$2K |
| 90698 |
|
183 |
183 |
$2K |
| 90621 |
|
141 |
140 |
$2K |
| 90633 |
|
179 |
179 |
$2K |
| 90649 |
|
87 |
87 |
$1K |
| 99000 |
|
369 |
364 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
281 |
278 |
$1K |
| 81002 |
|
534 |
472 |
$1K |
| 99173 |
|
169 |
169 |
$957.30 |
| 90658 |
|
100 |
100 |
$914.28 |
| 96127 |
|
169 |
162 |
$881.19 |
| 90674 |
|
74 |
74 |
$666.00 |
| 90744 |
|
71 |
71 |
$639.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$494.62 |
| 90681 |
|
45 |
45 |
$405.00 |
| 90723 |
|
39 |
37 |
$351.00 |
| 85999 |
|
112 |
112 |
$337.12 |
| 90651 |
|
14 |
14 |
$325.58 |
| 83655 |
|
27 |
27 |
$303.75 |
| 90716 |
|
28 |
28 |
$252.00 |
| 90707 |
|
28 |
28 |
$252.00 |
| 90672 |
|
16 |
16 |
$144.00 |
| 90648 |
|
16 |
16 |
$144.00 |
| 81025 |
|
44 |
42 |
$123.20 |
| 82465 |
|
28 |
27 |
$112.42 |
| 90647 |
|
12 |
12 |
$108.00 |
| 86580 |
|
13 |
12 |
$56.29 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |