| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,431 |
2,260 |
$139K |
| 96156 |
|
1,882 |
1,880 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,532 |
1,406 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,058 |
1,806 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,144 |
1,828 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
726 |
610 |
$33K |
| 92551 |
|
2,633 |
2,617 |
$29K |
| 96151 |
|
829 |
828 |
$18K |
| G9920 |
Screening performed and negative |
679 |
679 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
297 |
260 |
$13K |
| 90686 |
|
1,512 |
1,507 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
50 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
103 |
$6K |
| 92552 |
|
269 |
268 |
$3K |
| 83655 |
|
394 |
393 |
$3K |
| 80061 |
Lipid panel |
277 |
277 |
$3K |
| 90620 |
|
339 |
339 |
$3K |
| 90651 |
|
305 |
303 |
$2K |
| 0072A |
|
47 |
47 |
$2K |
| 0071A |
|
45 |
45 |
$2K |
| 96127 |
|
384 |
383 |
$2K |
| 92567 |
|
91 |
90 |
$2K |
| 90734 |
|
116 |
116 |
$1K |
| 82947 |
|
294 |
294 |
$780.74 |
| 82465 |
|
254 |
254 |
$729.24 |
| 96150 |
|
29 |
29 |
$674.54 |
| 99173 |
|
104 |
103 |
$602.20 |
| H0049 |
Alcohol and/or drug screening |
25 |
25 |
$528.00 |
| 0001A |
|
14 |
14 |
$520.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
82 |
82 |
$512.46 |
| 81000 |
|
175 |
175 |
$455.91 |
| 90619 |
|
105 |
105 |
$423.00 |
| 85018 |
|
184 |
183 |
$394.20 |
| 87110 |
|
38 |
38 |
$274.35 |
| 99407 |
|
14 |
14 |
$239.16 |
| 90707 |
|
16 |
16 |
$144.00 |
| 90715 |
|
14 |
13 |
$117.00 |
| 90670 |
|
12 |
12 |
$108.00 |
| 85014 |
|
28 |
28 |
$61.29 |
| 86580 |
|
13 |
13 |
$56.29 |
| 90656 |
|
61 |
61 |
$36.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
81 |
81 |
$0.00 |