| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
11,182 |
11,156 |
$135K |
| 90686 |
|
3,534 |
3,527 |
$7K |
| 99215 |
Prolong outpt/office vis |
10,847 |
10,587 |
$6K |
| 90651 |
|
2,161 |
2,150 |
$4K |
| 90670 |
|
1,108 |
1,107 |
$3K |
| 90734 |
|
1,440 |
1,434 |
$3K |
| 90700 |
|
780 |
778 |
$2K |
| 90707 |
|
1,211 |
1,209 |
$2K |
| 90716 |
|
1,093 |
1,089 |
$2K |
| 90633 |
|
964 |
962 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,659 |
5,562 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,457 |
5,440 |
$2K |
| 90698 |
|
609 |
608 |
$2K |
| 90715 |
|
922 |
919 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,410 |
4,394 |
$1K |
| 90621 |
|
342 |
338 |
$1K |
| G9920 |
Screening performed and negative |
9,196 |
9,174 |
$1K |
| 90713 |
|
396 |
394 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,048 |
4,952 |
$1K |
| 90680 |
|
261 |
261 |
$876.00 |
| 90744 |
|
262 |
262 |
$872.82 |
| 90685 |
|
384 |
382 |
$851.62 |
| 90671 |
|
91 |
91 |
$818.73 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,054 |
1,053 |
$675.74 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,209 |
3,203 |
$496.06 |
| 90677 |
|
45 |
45 |
$405.00 |
| 90648 |
|
191 |
191 |
$353.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,384 |
3,318 |
$344.76 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,377 |
2,376 |
$330.80 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
476 |
475 |
$147.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
56 |
$118.60 |
| 90620 |
|
1,012 |
1,012 |
$106.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,674 |
3,643 |
$89.46 |
| 99406 |
|
1,427 |
1,426 |
$88.60 |
| 99188 |
|
720 |
720 |
$71.28 |
| 90619 |
|
678 |
678 |
$44.55 |
| 99173 |
|
2,268 |
2,258 |
$12.50 |
| 90696 |
|
73 |
73 |
$8.91 |
| 81002 |
|
277 |
274 |
$7.05 |
| 3351F |
|
772 |
766 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
88 |
88 |
$0.00 |
| 85027 |
|
999 |
988 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
391 |
385 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
378 |
373 |
$0.00 |
| 85652 |
|
66 |
66 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,191 |
1,170 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
239 |
235 |
$0.00 |
| 1220F |
|
553 |
551 |
$0.00 |
| 3353F |
|
62 |
60 |
$0.00 |
| 99383 |
|
14 |
14 |
$0.00 |
| 94760 |
|
23 |
23 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
128 |
127 |
$0.00 |
| 86580 |
|
49 |
49 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 84439 |
|
367 |
361 |
$0.00 |
| 83655 |
|
433 |
429 |
$0.00 |
| 81003 |
|
923 |
909 |
$0.00 |
| 80061 |
Lipid panel |
252 |
248 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$0.00 |
| 99382 |
|
14 |
13 |
$0.00 |
| 99411 |
|
14 |
12 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$0.00 |