| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,433 |
1,369 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,650 |
4,214 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,625 |
1,585 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
769 |
754 |
$21K |
| 90670 |
|
1,413 |
1,400 |
$19K |
| G9920 |
Screening performed and negative |
3,862 |
3,846 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,283 |
2,216 |
$16K |
| 90651 |
|
273 |
272 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
513 |
512 |
$11K |
| 96156 |
|
3,817 |
3,798 |
$10K |
| 90648 |
|
1,445 |
1,419 |
$5K |
| 90723 |
|
1,144 |
1,133 |
$5K |
| 90680 |
|
929 |
922 |
$5K |
| 90710 |
|
286 |
286 |
$3K |
| 80061 |
Lipid panel |
2,620 |
2,534 |
$3K |
| 92551 |
|
1,868 |
1,843 |
$2K |
| 0072A |
|
60 |
58 |
$2K |
| 90686 |
|
961 |
948 |
$2K |
| 96112 |
|
2,189 |
2,180 |
$2K |
| 0002A |
|
74 |
58 |
$2K |
| 0071A |
|
79 |
72 |
$1K |
| 99381 |
|
31 |
31 |
$1K |
| 0012A |
|
78 |
52 |
$948.48 |
| 0001A |
|
74 |
61 |
$931.70 |
| 99460 |
|
18 |
18 |
$904.90 |
| 97802 |
|
2,499 |
2,458 |
$902.10 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$743.35 |
| 0011A |
|
93 |
54 |
$711.48 |
| 90620 |
|
84 |
83 |
$603.13 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
15 |
$599.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
267 |
267 |
$586.86 |
| 83655 |
|
886 |
869 |
$564.01 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
366 |
358 |
$546.14 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
152 |
151 |
$525.30 |
| 90685 |
|
295 |
294 |
$496.56 |
| 96150 |
|
688 |
637 |
$464.46 |
| 90734 |
|
246 |
246 |
$429.88 |
| 90633 |
|
543 |
539 |
$324.00 |
| D1206 |
Topical application of fluoride varnish |
205 |
205 |
$160.38 |
| 90700 |
|
139 |
138 |
$45.00 |
| 90696 |
|
100 |
100 |
$45.00 |
| 90715 |
|
138 |
138 |
$36.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
69 |
$31.77 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,575 |
2,569 |
$27.26 |
| 90707 |
|
17 |
17 |
$18.00 |
| 90716 |
|
18 |
18 |
$18.00 |
| 99173 |
|
1,576 |
1,551 |
$7.62 |
| 99401 |
|
2,520 |
2,514 |
$0.00 |
| 91300 |
|
29 |
24 |
$0.00 |
| 3078F |
|
17 |
17 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
2,373 |
2,368 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
711 |
709 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 91301 |
|
87 |
86 |
$0.00 |
| 99050 |
|
26 |
24 |
$0.00 |
| 99385 |
|
67 |
67 |
$0.00 |
| 3074F |
|
42 |
42 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |