| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,615 |
12,326 |
$159K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,368 |
4,265 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,425 |
5,354 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,436 |
5,801 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,777 |
3,760 |
$85K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,442 |
3,298 |
$77K |
| G9920 |
Screening performed and negative |
5,713 |
5,616 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,917 |
1,906 |
$43K |
| 99460 |
|
1,326 |
1,311 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
988 |
978 |
$29K |
| 96156 |
|
1,798 |
1,793 |
$19K |
| 92552 |
|
7,112 |
7,030 |
$18K |
| 99462 |
|
1,362 |
1,044 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,992 |
1,967 |
$17K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,458 |
7,350 |
$12K |
| 97803 |
|
3,598 |
3,485 |
$12K |
| 99188 |
|
3,595 |
3,509 |
$10K |
| 96112 |
|
5,323 |
5,254 |
$10K |
| 99383 |
|
220 |
217 |
$7K |
| 99381 |
|
103 |
101 |
$6K |
| 90680 |
|
2,774 |
2,712 |
$6K |
| 90670 |
|
3,762 |
3,702 |
$6K |
| 90698 |
|
2,242 |
2,203 |
$4K |
| 90744 |
|
1,680 |
1,653 |
$4K |
| 90688 |
|
3,632 |
3,597 |
$3K |
| 99382 |
|
81 |
81 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
863 |
862 |
$3K |
| 90697 |
|
1,066 |
1,029 |
$2K |
| 97802 |
|
5,626 |
5,570 |
$2K |
| 83655 |
|
600 |
588 |
$2K |
| 99401 |
|
5,728 |
5,661 |
$2K |
| 99406 |
|
881 |
879 |
$2K |
| 90700 |
|
2,141 |
2,131 |
$2K |
| 90651 |
|
1,063 |
1,053 |
$1K |
| 85018 |
|
3,278 |
3,247 |
$1K |
| 90633 |
|
2,260 |
2,243 |
$1K |
| 96127 |
|
1,228 |
1,204 |
$1K |
| 90707 |
|
1,454 |
1,449 |
$920.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
200 |
199 |
$784.85 |
| 90716 |
|
1,483 |
1,475 |
$772.38 |
| 90713 |
|
915 |
909 |
$745.29 |
| 92551 |
|
1,490 |
1,487 |
$690.53 |
| 90677 |
|
276 |
270 |
$687.70 |
| 90734 |
|
574 |
568 |
$607.30 |
| 99173 |
|
3,279 |
3,261 |
$572.16 |
| G9919 |
Screening performed and positive and provision of recommendations |
82 |
82 |
$558.80 |
| 90710 |
|
417 |
408 |
$531.54 |
| D0120 |
Periodic oral evaluation - established patient |
5,080 |
5,029 |
$495.33 |
| 90685 |
|
921 |
883 |
$472.07 |
| 90715 |
|
398 |
395 |
$462.60 |
| 90648 |
|
572 |
569 |
$414.90 |
| 96111 |
|
258 |
255 |
$381.50 |
| 90671 |
|
95 |
93 |
$235.80 |
| 87081 |
|
477 |
467 |
$227.07 |
| 90658 |
|
43 |
42 |
$153.62 |
| 81000 |
|
2,050 |
2,032 |
$148.86 |
| 99384 |
|
13 |
13 |
$148.12 |
| 90620 |
|
68 |
64 |
$139.23 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$124.82 |
| 94760 |
|
417 |
370 |
$111.44 |
| 90656 |
|
98 |
98 |
$73.00 |
| 86580 |
|
106 |
102 |
$37.15 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
29 |
29 |
$35.60 |
| 1032F |
|
3,424 |
3,387 |
$27.00 |
| 90696 |
|
14 |
14 |
$18.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
16 |
$12.76 |
| 96161 |
|
370 |
336 |
$5.12 |
| 81002 |
|
25 |
25 |
$2.13 |
| D1330 |
|
309 |
309 |
$0.00 |
| 90686 |
|
93 |
93 |
$0.00 |
| 85014 |
|
269 |
268 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
580 |
579 |
$0.00 |
| 96160 |
|
33 |
28 |
$0.00 |
| D5986 |
|
41 |
41 |
$0.00 |