| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
5,073 |
5,052 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,753 |
4,522 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,119 |
1,084 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,863 |
1,861 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,429 |
1,363 |
$36K |
| G9920 |
Screening performed and negative |
4,136 |
4,108 |
$24K |
| 92552 |
|
3,459 |
3,453 |
$22K |
| 90697 |
|
513 |
490 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
947 |
946 |
$19K |
| 99383 |
|
397 |
396 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
921 |
920 |
$16K |
| 99381 |
|
204 |
203 |
$13K |
| G9919 |
Screening performed and positive and provision of recommendations |
1,365 |
1,360 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,875 |
1,830 |
$10K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
89 |
86 |
$10K |
| 99382 |
|
201 |
200 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
432 |
431 |
$6K |
| 96127 |
|
6,099 |
5,979 |
$6K |
| 99384 |
|
87 |
87 |
$5K |
| 99188 |
|
956 |
951 |
$5K |
| 90671 |
|
759 |
755 |
$4K |
| 90651 |
|
455 |
453 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
893 |
893 |
$3K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,432 |
1,419 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
404 |
394 |
$3K |
| 83655 |
|
509 |
506 |
$3K |
| 0071A |
|
57 |
57 |
$2K |
| 90633 |
|
527 |
526 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
89 |
89 |
$2K |
| 99000 |
|
939 |
927 |
$2K |
| 90656 |
|
270 |
270 |
$2K |
| 0072A |
|
43 |
40 |
$1K |
| 90619 |
|
131 |
131 |
$1K |
| 90681 |
|
129 |
129 |
$966.24 |
| 90710 |
|
210 |
208 |
$908.19 |
| 90696 |
|
167 |
165 |
$899.37 |
| 90707 |
|
235 |
234 |
$887.76 |
| 90716 |
|
234 |
233 |
$878.76 |
| 90715 |
|
107 |
107 |
$736.38 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$702.63 |
| 90698 |
|
249 |
246 |
$680.85 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
155 |
144 |
$582.96 |
| 85018 |
|
525 |
523 |
$569.79 |
| 90680 |
|
183 |
172 |
$510.75 |
| 90620 |
|
57 |
57 |
$474.85 |
| 90700 |
|
59 |
59 |
$428.13 |
| 99173 |
|
2,451 |
2,444 |
$372.31 |
| 90686 |
|
600 |
592 |
$352.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110 |
110 |
$351.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
42 |
$278.87 |
| 90744 |
|
38 |
38 |
$258.93 |
| 90713 |
|
14 |
14 |
$106.92 |
| 81002 |
|
29 |
29 |
$53.25 |
| 4004F |
|
936 |
935 |
$22.50 |
| 96160 |
|
920 |
917 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,998 |
2,957 |
$0.00 |
| 90461 |
|
1,600 |
1,584 |
$0.00 |
| 90670 |
|
277 |
266 |
$0.00 |
| 96161 |
|
6,050 |
5,956 |
$0.00 |
| 36416 |
|
291 |
290 |
$0.00 |
| 3044F |
|
62 |
62 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
21 |
20 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$0.00 |