| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
8,902 |
8,883 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,453 |
17,485 |
$154K |
| 90651 |
|
2,313 |
2,302 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,962 |
2,866 |
$104K |
| 90619 |
|
648 |
648 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,092 |
6,506 |
$77K |
| 99381 |
|
541 |
509 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,087 |
5,034 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,646 |
5,613 |
$41K |
| 90697 |
|
648 |
644 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,343 |
4,318 |
$30K |
| 92552 |
|
13,660 |
13,601 |
$20K |
| 90670 |
|
3,359 |
3,324 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,431 |
2,291 |
$16K |
| 90680 |
|
2,197 |
2,169 |
$15K |
| 90698 |
|
1,460 |
1,441 |
$8K |
| 99215 |
Prolong outpt/office vis |
419 |
415 |
$7K |
| 90686 |
|
5,088 |
5,072 |
$6K |
| 90744 |
|
1,251 |
1,230 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,091 |
2,071 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,570 |
3,486 |
$6K |
| 90620 |
|
1,228 |
1,222 |
$4K |
| 90656 |
|
253 |
252 |
$4K |
| 90716 |
|
688 |
681 |
$3K |
| 85018 |
|
17,193 |
16,841 |
$3K |
| 90734 |
|
1,169 |
1,165 |
$3K |
| 99460 |
|
57 |
55 |
$3K |
| 90633 |
|
1,947 |
1,923 |
$3K |
| 90700 |
|
1,201 |
1,194 |
$3K |
| 90688 |
|
209 |
209 |
$3K |
| 99384 |
|
79 |
79 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,113 |
5,030 |
$2K |
| 90707 |
|
629 |
622 |
$2K |
| 0072A |
|
159 |
159 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,649 |
3,648 |
$2K |
| 99383 |
|
73 |
73 |
$2K |
| 90713 |
|
471 |
468 |
$2K |
| 0071A |
|
177 |
176 |
$2K |
| 90648 |
|
790 |
785 |
$1K |
| 90461 |
|
1,794 |
1,766 |
$1K |
| 90677 |
|
115 |
113 |
$1K |
| 90710 |
|
739 |
737 |
$1K |
| 90715 |
|
927 |
924 |
$936.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,195 |
1,168 |
$885.98 |
| 96127 |
|
1,098 |
1,085 |
$763.33 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$694.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
686 |
678 |
$504.04 |
| 99188 |
|
355 |
355 |
$322.56 |
| 99173 |
|
10,971 |
10,938 |
$241.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
183 |
180 |
$219.60 |
| 86580 |
|
419 |
414 |
$204.83 |
| 90696 |
|
158 |
157 |
$185.66 |
| 83655 |
|
90 |
89 |
$185.05 |
| 81002 |
|
909 |
875 |
$167.32 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
89 |
86 |
$126.30 |
| 96160 |
|
15,419 |
15,361 |
$126.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$104.10 |
| 88720 |
|
19 |
14 |
$76.68 |
| 90655 |
|
38 |
38 |
$72.00 |
| 90658 |
|
95 |
95 |
$44.68 |
| 90649 |
|
26 |
26 |
$9.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
89 |
84 |
$0.51 |
| 99441 |
|
14 |
14 |
$0.00 |
| 91307 |
|
73 |
67 |
$0.00 |