| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,051 |
1,051 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,742 |
14,502 |
$30K |
| 97802 |
|
613 |
613 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
427 |
426 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,233 |
1,232 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
805 |
802 |
$2K |
| 90670 |
|
1,010 |
1,009 |
$2K |
| 90671 |
|
180 |
180 |
$2K |
| 99381 |
|
46 |
46 |
$2K |
| 90698 |
|
632 |
631 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
61 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,931 |
1,929 |
$824.79 |
| 90681 |
|
228 |
228 |
$775.71 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,232 |
2,229 |
$740.40 |
| 90744 |
|
327 |
326 |
$705.06 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,488 |
1,488 |
$542.80 |
| 90677 |
|
53 |
53 |
$476.73 |
| G9920 |
Screening performed and negative |
6,667 |
6,665 |
$344.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
128 |
$162.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,765 |
1,765 |
$158.85 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
974 |
967 |
$142.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
63 |
$117.30 |
| 90633 |
|
764 |
764 |
$71.28 |
| 90697 |
|
225 |
225 |
$62.46 |
| 90651 |
|
652 |
652 |
$44.55 |
| 90696 |
|
185 |
185 |
$35.64 |
| 83655 |
|
448 |
447 |
$31.56 |
| 90686 |
|
658 |
657 |
$26.73 |
| 90620 |
|
298 |
298 |
$26.73 |
| 90700 |
|
97 |
97 |
$17.82 |
| 90707 |
|
380 |
380 |
$17.82 |
| 90674 |
|
61 |
61 |
$17.82 |
| 90716 |
|
385 |
385 |
$17.82 |
| 90710 |
|
26 |
26 |
$8.91 |
| 90661 |
|
19 |
19 |
$8.91 |
| 90734 |
|
336 |
336 |
$8.91 |
| 90715 |
|
113 |
113 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
86 |
85 |
$0.00 |
| 80061 |
Lipid panel |
247 |
245 |
$0.00 |
| 90756 |
|
178 |
178 |
$0.00 |
| 84439 |
|
233 |
231 |
$0.00 |
| 81003 |
|
482 |
477 |
$0.00 |
| 90648 |
|
47 |
47 |
$0.00 |
| 1036F |
|
1,661 |
1,661 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
710 |
700 |
$0.00 |
| 3008F |
|
2,862 |
2,862 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
541 |
536 |
$0.00 |
| 84436 |
|
224 |
222 |
$0.00 |
| 96161 |
|
578 |
578 |
$0.00 |
| 90619 |
|
175 |
175 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
86 |
85 |
$0.00 |
| 85018 |
|
112 |
112 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
253 |
251 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
236 |
234 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
268 |
266 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |