| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,035 |
11,196 |
$452K |
| 96156 |
|
6,349 |
6,237 |
$412K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,459 |
2,355 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,671 |
1,652 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,076 |
2,037 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,539 |
989 |
$86K |
| 97803 |
|
3,476 |
3,423 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,463 |
1,357 |
$64K |
| 92551 |
|
5,355 |
5,286 |
$59K |
| G9920 |
Screening performed and negative |
2,529 |
2,498 |
$53K |
| 96151 |
|
2,298 |
2,267 |
$51K |
| 92081 |
|
1,165 |
1,160 |
$35K |
| D1206 |
Topical application of fluoride varnish |
1,658 |
1,635 |
$28K |
| 36410 |
|
3,257 |
3,213 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
637 |
597 |
$17K |
| 36406 |
|
1,001 |
980 |
$16K |
| 90620 |
|
446 |
427 |
$15K |
| 90686 |
|
1,732 |
1,721 |
$15K |
| 87110 |
|
959 |
911 |
$15K |
| 90670 |
|
1,576 |
1,553 |
$14K |
| 85018 |
|
7,309 |
7,203 |
$13K |
| 81000 |
|
5,376 |
5,295 |
$12K |
| 83655 |
|
1,041 |
890 |
$11K |
| 99215 |
Prolong outpt/office vis |
165 |
164 |
$10K |
| 90680 |
|
1,005 |
987 |
$9K |
| 96150 |
|
369 |
358 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
54 |
$8K |
| 90698 |
|
730 |
721 |
$7K |
| 99381 |
|
111 |
104 |
$6K |
| 90633 |
|
713 |
707 |
$6K |
| 90697 |
|
363 |
354 |
$6K |
| 90651 |
|
497 |
493 |
$6K |
| 97802 |
|
647 |
643 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
500 |
461 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
202 |
$4K |
| 90734 |
|
326 |
324 |
$4K |
| 99188 |
|
892 |
886 |
$4K |
| 90744 |
|
374 |
370 |
$3K |
| 90715 |
|
256 |
247 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
219 |
205 |
$3K |
| 86580 |
|
662 |
652 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
342 |
338 |
$2K |
| 99460 |
|
25 |
25 |
$2K |
| 90619 |
|
78 |
78 |
$2K |
| 90716 |
|
112 |
112 |
$999.00 |
| 90700 |
|
98 |
97 |
$902.06 |
| 90707 |
|
90 |
90 |
$810.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
53 |
52 |
$806.37 |
| 90685 |
|
78 |
78 |
$702.00 |
| 90648 |
|
72 |
71 |
$676.34 |
| 99462 |
|
19 |
12 |
$662.73 |
| 90710 |
|
29 |
29 |
$261.00 |
| 81002 |
|
71 |
71 |
$190.29 |
| 99000 |
|
50 |
50 |
$181.50 |
| 90756 |
|
17 |
17 |
$176.16 |
| 90713 |
|
14 |
14 |
$152.67 |
| 90658 |
|
15 |
15 |
$135.00 |
| 90696 |
|
12 |
12 |
$108.00 |
| 90461 |
|
88 |
86 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
285 |
263 |
$0.00 |
| 99173 |
|
79 |
76 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |