| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,312 |
2,304 |
$162K |
| 97802 |
|
3,859 |
3,852 |
$142K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,459 |
2,392 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,044 |
2,038 |
$38K |
| 99188 |
|
1,965 |
1,960 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,426 |
7,574 |
$35K |
| 90686 |
|
2,618 |
2,618 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,911 |
1,907 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,611 |
1,603 |
$26K |
| H0049 |
Alcohol and/or drug screening |
1,239 |
1,232 |
$24K |
| 80061 |
Lipid panel |
2,930 |
2,927 |
$24K |
| 96156 |
|
261 |
261 |
$23K |
| 96127 |
|
3,432 |
3,424 |
$20K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,365 |
1,357 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
396 |
380 |
$17K |
| 96150 |
|
752 |
751 |
$17K |
| 90651 |
|
1,036 |
1,034 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,464 |
2,335 |
$14K |
| 90480 |
|
307 |
305 |
$12K |
| 90674 |
|
896 |
896 |
$10K |
| 99429 |
|
384 |
384 |
$10K |
| 92552 |
|
5,558 |
5,547 |
$9K |
| 0124A |
|
182 |
182 |
$7K |
| 90734 |
|
580 |
580 |
$6K |
| 82947 |
|
2,634 |
2,631 |
$6K |
| 90670 |
|
484 |
482 |
$5K |
| 90685 |
|
420 |
414 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
528 |
519 |
$5K |
| 0072A |
|
96 |
96 |
$4K |
| 0071A |
|
91 |
91 |
$3K |
| 0154A |
|
83 |
83 |
$3K |
| 91320 |
|
140 |
140 |
$3K |
| 86703 |
|
197 |
195 |
$3K |
| 90633 |
|
234 |
230 |
$3K |
| 0002A |
|
56 |
56 |
$2K |
| 0001A |
|
55 |
55 |
$2K |
| 90698 |
|
183 |
183 |
$2K |
| 0054A |
|
48 |
48 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
90 |
$2K |
| 90697 |
|
49 |
49 |
$1K |
| 90648 |
|
101 |
101 |
$1K |
| 0074A |
|
27 |
27 |
$1K |
| 90715 |
|
95 |
95 |
$1K |
| 83655 |
|
101 |
100 |
$1K |
| 91319 |
|
97 |
96 |
$920.00 |
| 90680 |
|
78 |
78 |
$820.66 |
| 91318 |
|
30 |
30 |
$745.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,096 |
1,058 |
$743.90 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$558.75 |
| 90723 |
|
44 |
44 |
$470.52 |
| 90649 |
|
42 |
42 |
$455.26 |
| 3725F |
|
81 |
81 |
$400.00 |
| 90744 |
|
36 |
36 |
$377.82 |
| 90655 |
|
28 |
28 |
$305.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,082 |
1,079 |
$256.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
204 |
201 |
$224.05 |
| 90658 |
|
13 |
13 |
$143.91 |
| 99384 |
|
27 |
27 |
$80.91 |
| 99383 |
|
26 |
26 |
$67.44 |
| 81002 |
|
206 |
197 |
$31.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,900 |
5,963 |
$18.00 |
| 86580 |
|
15 |
15 |
$12.39 |
| 85018 |
|
14 |
13 |
$2.55 |
| 90461 |
|
5,180 |
1,466 |
$0.00 |