| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,274 |
5,253 |
$511K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,056 |
961 |
$177K |
| 96156 |
|
1,655 |
1,642 |
$166K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,119 |
880 |
$105K |
| 99406 |
|
2,581 |
2,555 |
$35K |
| 96127 |
|
1,171 |
1,165 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
480 |
480 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
386 |
384 |
$27K |
| 92551 |
|
1,959 |
1,957 |
$26K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
831 |
826 |
$22K |
| 96150 |
|
525 |
524 |
$18K |
| 99215 |
Prolong outpt/office vis |
76 |
70 |
$18K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
906 |
893 |
$17K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
526 |
523 |
$14K |
| 96151 |
|
321 |
320 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
138 |
$7K |
| 85018 |
|
2,699 |
2,678 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
30 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
33 |
$5K |
| 81000 |
|
1,717 |
1,711 |
$5K |
| G9920 |
Screening performed and negative |
128 |
128 |
$4K |
| 99072 |
|
99 |
91 |
$3K |
| 90656 |
|
284 |
282 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$3K |
| 99173 |
|
110 |
110 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
228 |
226 |
$2K |
| 99401 |
|
27 |
27 |
$1K |
| 99384 |
|
15 |
15 |
$1K |
| D1206 |
Topical application of fluoride varnish |
62 |
62 |
$1K |
| 81002 |
|
240 |
239 |
$944.40 |
| Z1034 |
|
15 |
14 |
$838.25 |
| 90700 |
|
90 |
89 |
$810.00 |
| 81003 |
|
56 |
54 |
$781.48 |
| 90649 |
|
51 |
51 |
$614.72 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$578.08 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
39 |
39 |
$496.08 |
| 90713 |
|
45 |
45 |
$405.00 |
| 90670 |
|
38 |
38 |
$342.00 |
| 90651 |
|
37 |
37 |
$333.00 |
| 90674 |
|
26 |
26 |
$303.54 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$288.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$272.44 |
| 90734 |
|
30 |
29 |
$270.00 |
| 90647 |
|
28 |
28 |
$252.00 |
| 81025 |
|
53 |
53 |
$144.73 |
| 90686 |
|
16 |
16 |
$144.00 |
| Z6404 |
|
15 |
15 |
$115.83 |
| 90715 |
|
12 |
12 |
$108.00 |
| 99000 |
|
14 |
14 |
$49.38 |
| 85999 |
|
12 |
12 |
$36.12 |