| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
1,374 |
1,372 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,222 |
2,920 |
$27K |
| 97803 |
|
1,963 |
1,928 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,579 |
2,528 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
699 |
658 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
254 |
253 |
$16K |
| 0240U |
|
116 |
115 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,058 |
1,923 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
307 |
305 |
$9K |
| 90480 |
|
82 |
81 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
30 |
$2K |
| 96127 |
|
2,206 |
2,160 |
$2K |
| H1011 |
Family assessment by licensed behavioral health professional for state defined purposes |
300 |
299 |
$2K |
| 90461 |
|
237 |
234 |
$2K |
| 92551 |
|
1,650 |
1,636 |
$2K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
261 |
261 |
$2K |
| 90686 |
|
401 |
399 |
$1K |
| 94760 |
|
3,939 |
3,665 |
$950.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
142 |
133 |
$897.69 |
| 99215 |
Prolong outpt/office vis |
20 |
16 |
$621.08 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
77 |
75 |
$613.75 |
| 0154A |
|
13 |
12 |
$400.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$307.50 |
| 99188 |
|
12 |
12 |
$282.60 |
| 0124A |
|
14 |
14 |
$280.00 |
| 0072A |
|
68 |
67 |
$280.00 |
| 83655 |
|
12 |
12 |
$183.90 |
| H2015 |
Comprehensive community support services, per 15 minutes |
27 |
27 |
$180.00 |
| 0071A |
|
67 |
66 |
$160.00 |
| 96160 |
|
64 |
64 |
$135.68 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
53 |
$134.52 |
| 85018 |
|
446 |
442 |
$132.00 |
| 94664 |
|
70 |
67 |
$84.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$70.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36 |
33 |
$51.31 |
| 99173 |
|
1,241 |
1,234 |
$4.52 |
| 91307 |
|
31 |
29 |
$0.00 |