| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
6,261 |
6,231 |
$412K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,467 |
4,420 |
$275K |
| 97802 |
|
9,335 |
9,303 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,067 |
3,029 |
$156K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,792 |
6,728 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,309 |
4,008 |
$129K |
| 92551 |
|
9,121 |
9,087 |
$102K |
| G9920 |
Screening performed and negative |
4,447 |
4,430 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,408 |
1,382 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
683 |
679 |
$65K |
| 96151 |
|
2,685 |
2,683 |
$58K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
650 |
616 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
822 |
762 |
$37K |
| 87110 |
|
2,238 |
2,224 |
$35K |
| 80061 |
Lipid panel |
3,411 |
3,406 |
$34K |
| 99406 |
|
4,063 |
4,047 |
$33K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
504 |
504 |
$25K |
| 81000 |
|
8,490 |
8,446 |
$20K |
| 96127 |
|
1,241 |
1,236 |
$17K |
| 85018 |
|
6,032 |
6,011 |
$16K |
| D1206 |
Topical application of fluoride varnish |
860 |
858 |
$16K |
| 90686 |
|
1,962 |
1,954 |
$14K |
| 90688 |
|
1,214 |
1,214 |
$11K |
| 90734 |
|
1,011 |
1,008 |
$9K |
| 90649 |
|
606 |
606 |
$7K |
| 92552 |
|
285 |
285 |
$6K |
| 99173 |
|
473 |
456 |
$6K |
| 81002 |
|
260 |
260 |
$5K |
| 90700 |
|
587 |
586 |
$5K |
| 0003A |
|
120 |
120 |
$5K |
| 90672 |
|
294 |
290 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
226 |
223 |
$4K |
| 0001A |
|
98 |
98 |
$4K |
| 0002A |
|
98 |
98 |
$4K |
| 90713 |
|
356 |
355 |
$3K |
| 90620 |
|
468 |
466 |
$3K |
| 90621 |
|
298 |
298 |
$3K |
| 99188 |
|
346 |
345 |
$2K |
| 90651 |
|
234 |
232 |
$2K |
| 96150 |
|
71 |
71 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
67 |
67 |
$1K |
| 90648 |
|
147 |
146 |
$1K |
| 90716 |
|
117 |
116 |
$1K |
| 90707 |
|
115 |
114 |
$1K |
| 90670 |
|
137 |
137 |
$1K |
| 90715 |
|
103 |
103 |
$936.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$785.82 |
| 90658 |
|
57 |
57 |
$513.00 |
| 86580 |
|
184 |
183 |
$314.25 |
| 90633 |
|
27 |
26 |
$269.70 |
| 83655 |
|
28 |
27 |
$203.55 |
| 90744 |
|
17 |
17 |
$174.60 |
| 90680 |
|
12 |
12 |
$99.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$94.29 |
| 85999 |
|
153 |
153 |
$33.11 |
| 81001 |
|
143 |
143 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |