| Code | Description | Claims | Beneficiaries | Total Paid |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,638 |
1,621 |
$115K |
| 96156 |
|
1,297 |
1,283 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,937 |
1,927 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,621 |
5,239 |
$108K |
| 97803 |
|
4,150 |
3,961 |
$104K |
| G9920 |
Screening performed and negative |
2,252 |
2,245 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,215 |
1,204 |
$58K |
| 92551 |
|
3,504 |
3,472 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
856 |
820 |
$20K |
| 90686 |
|
1,890 |
1,890 |
$17K |
| 96151 |
|
668 |
665 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
267 |
266 |
$12K |
| 92552 |
|
670 |
667 |
$11K |
| 85014 |
|
4,391 |
4,349 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
86 |
$10K |
| 81000 |
|
3,475 |
3,408 |
$9K |
| 90651 |
|
739 |
737 |
$7K |
| 90734 |
|
575 |
571 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
70 |
$5K |
| 90620 |
|
282 |
277 |
$4K |
| 90670 |
|
439 |
436 |
$4K |
| 90648 |
|
426 |
422 |
$4K |
| 90700 |
|
351 |
348 |
$3K |
| 87110 |
|
161 |
159 |
$3K |
| 90685 |
|
276 |
270 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
292 |
287 |
$2K |
| 90707 |
|
175 |
174 |
$2K |
| 90715 |
|
170 |
168 |
$2K |
| 90716 |
|
165 |
164 |
$1K |
| 85018 |
|
616 |
614 |
$1K |
| 96127 |
|
246 |
246 |
$1K |
| 90633 |
|
113 |
113 |
$1K |
| 81002 |
|
459 |
459 |
$946.00 |
| 90713 |
|
105 |
104 |
$945.00 |
| 96150 |
|
25 |
25 |
$581.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$531.83 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$256.80 |
| 86580 |
|
59 |
58 |
$255.47 |
| 90744 |
|
14 |
14 |
$126.00 |
| 90681 |
|
12 |
12 |
$108.00 |