| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
7,384 |
7,031 |
$732K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,400 |
7,350 |
$439K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,007 |
7,130 |
$278K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,924 |
1,921 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,614 |
1,609 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,718 |
1,696 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,177 |
1,176 |
$76K |
| 94060 |
|
1,212 |
1,191 |
$65K |
| 92551 |
|
3,700 |
3,698 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,236 |
1,956 |
$42K |
| 99381 |
|
612 |
605 |
$34K |
| 90670 |
|
1,538 |
1,536 |
$13K |
| 90698 |
|
1,380 |
1,378 |
$12K |
| 99383 |
|
169 |
169 |
$12K |
| 95012 |
|
521 |
514 |
$9K |
| 90680 |
|
983 |
982 |
$9K |
| 90686 |
|
954 |
953 |
$9K |
| 90744 |
|
863 |
858 |
$8K |
| 99384 |
|
98 |
98 |
$7K |
| 97802 |
|
3,021 |
3,019 |
$7K |
| 90716 |
|
674 |
674 |
$6K |
| 99460 |
|
63 |
63 |
$5K |
| 90707 |
|
565 |
564 |
$5K |
| 90633 |
|
563 |
563 |
$5K |
| 99382 |
|
79 |
79 |
$5K |
| 90651 |
|
345 |
345 |
$3K |
| 90734 |
|
286 |
286 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
32 |
$2K |
| 96151 |
|
181 |
181 |
$2K |
| 90696 |
|
242 |
242 |
$2K |
| 90715 |
|
213 |
213 |
$2K |
| G9920 |
Screening performed and negative |
1,471 |
1,471 |
$2K |
| 90660 |
|
191 |
191 |
$2K |
| 90700 |
|
179 |
179 |
$2K |
| 90685 |
|
132 |
132 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
47 |
46 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$617.02 |
| 90620 |
|
51 |
51 |
$441.00 |
| 90647 |
|
37 |
37 |
$333.00 |
| 85018 |
|
157 |
157 |
$318.51 |
| 87430 |
|
43 |
43 |
$300.00 |
| 90671 |
|
32 |
32 |
$279.00 |
| 96150 |
|
85 |
61 |
$265.03 |
| 90619 |
|
28 |
28 |
$243.00 |
| 83655 |
|
14 |
14 |
$148.82 |
| 96127 |
|
589 |
589 |
$125.11 |
| 94760 |
|
149 |
139 |
$118.68 |
| 99401 |
|
245 |
242 |
$105.66 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
291 |
291 |
$11.00 |
| 99172 |
|
1,008 |
1,007 |
$0.00 |
| 99050 |
|
2,166 |
2,086 |
$0.00 |
| 96161 |
|
329 |
317 |
$0.00 |
| 0072A |
|
35 |
35 |
$0.00 |
| 91307 |
|
101 |
98 |
$0.00 |
| 99173 |
|
2,015 |
2,014 |
$0.00 |
| 0071A |
|
62 |
62 |
$0.00 |
| 96160 |
|
1,739 |
1,737 |
$0.00 |