| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90651 |
|
1,400 |
1,344 |
$142K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,147 |
3,061 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,606 |
2,547 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,775 |
8,724 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,084 |
2,031 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,234 |
1,177 |
$56K |
| G9919 |
Screening performed and positive and provision of recommendations |
2,534 |
2,532 |
$52K |
| 96156 |
|
3,812 |
3,811 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,920 |
2,844 |
$24K |
| 92551 |
|
7,006 |
6,990 |
$22K |
| 90686 |
|
3,610 |
3,561 |
$15K |
| 90619 |
|
102 |
102 |
$10K |
| 99381 |
|
105 |
105 |
$9K |
| 90670 |
|
1,533 |
1,515 |
$7K |
| 90697 |
|
127 |
127 |
$6K |
| 97802 |
|
23 |
23 |
$6K |
| 90698 |
|
1,011 |
999 |
$5K |
| 90680 |
|
989 |
981 |
$5K |
| 90744 |
|
753 |
741 |
$4K |
| 90633 |
|
1,057 |
1,047 |
$4K |
| 90716 |
|
1,116 |
1,109 |
$4K |
| 90685 |
|
186 |
114 |
$4K |
| 85018 |
|
5,402 |
5,055 |
$4K |
| 90707 |
|
1,033 |
1,025 |
$3K |
| 90734 |
|
1,119 |
1,115 |
$3K |
| 80061 |
Lipid panel |
343 |
336 |
$2K |
| 83655 |
|
505 |
483 |
$2K |
| 99383 |
|
24 |
13 |
$2K |
| 90715 |
|
709 |
706 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
186 |
186 |
$1K |
| 90621 |
|
551 |
549 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
959 |
953 |
$815.06 |
| 90696 |
|
192 |
191 |
$600.75 |
| 90700 |
|
178 |
177 |
$567.00 |
| 90461 |
|
1,387 |
1,379 |
$464.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
138 |
138 |
$353.64 |
| 96160 |
|
3,863 |
3,833 |
$289.40 |
| 90713 |
|
38 |
37 |
$180.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,732 |
4,607 |
$174.00 |
| 90648 |
|
45 |
45 |
$153.00 |
| 99173 |
|
5,241 |
5,202 |
$116.00 |
| 90671 |
|
29 |
29 |
$99.00 |
| 99000 |
|
449 |
445 |
$96.97 |
| 85032 |
|
17 |
17 |
$78.71 |
| 86580 |
|
26 |
26 |
$66.60 |
| 81003 |
|
151 |
144 |
$54.70 |
| 99401 |
|
23 |
23 |
$0.00 |
| 91300 |
|
215 |
209 |
$0.00 |
| 36416 |
|
28 |
28 |
$0.00 |
| 90657 |
|
15 |
15 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
22 |
22 |
$0.00 |
| 99172 |
|
12 |
12 |
$0.00 |