| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
14,412 |
14,361 |
$959K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,444 |
15,905 |
$326K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,293 |
6,282 |
$278K |
| G9920 |
Screening performed and negative |
11,642 |
11,613 |
$230K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,332 |
2,382 |
$223K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,532 |
5,522 |
$217K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,980 |
3,975 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,615 |
5,463 |
$196K |
| 92551 |
|
15,953 |
15,918 |
$161K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,889 |
2,865 |
$120K |
| 99384 |
|
1,200 |
1,198 |
$102K |
| 96151 |
|
3,726 |
3,720 |
$84K |
| 90686 |
|
7,541 |
7,534 |
$63K |
| 99383 |
|
928 |
925 |
$60K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,516 |
5,340 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,073 |
1,050 |
$38K |
| 97802 |
|
1,407 |
1,404 |
$36K |
| 85018 |
|
7,637 |
7,618 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
189 |
188 |
$24K |
| 90670 |
|
2,092 |
2,075 |
$19K |
| 90620 |
|
1,229 |
1,228 |
$16K |
| 90651 |
|
1,952 |
1,949 |
$16K |
| 90633 |
|
1,968 |
1,963 |
$15K |
| 96127 |
|
3,104 |
3,095 |
$15K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
845 |
821 |
$15K |
| 96150 |
|
581 |
578 |
$14K |
| 99382 |
|
252 |
250 |
$13K |
| 90734 |
|
1,417 |
1,410 |
$13K |
| 87428 |
|
360 |
356 |
$13K |
| 90649 |
|
1,336 |
1,336 |
$12K |
| 90697 |
|
766 |
764 |
$12K |
| 90715 |
|
1,195 |
1,192 |
$12K |
| 90672 |
|
1,038 |
1,034 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,131 |
573 |
$10K |
| 90698 |
|
1,019 |
1,018 |
$9K |
| 99188 |
|
619 |
616 |
$8K |
| 90710 |
|
854 |
853 |
$7K |
| 90480 |
|
175 |
175 |
$7K |
| 90696 |
|
791 |
791 |
$7K |
| 90744 |
|
645 |
639 |
$6K |
| 90716 |
|
680 |
678 |
$6K |
| 90681 |
|
731 |
728 |
$5K |
| 96111 |
|
77 |
77 |
$5K |
| 90707 |
|
609 |
607 |
$5K |
| 91322 |
|
33 |
33 |
$5K |
| 99381 |
|
71 |
71 |
$4K |
| 91321 |
|
57 |
57 |
$4K |
| 90658 |
|
450 |
450 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
735 |
727 |
$4K |
| 90723 |
|
406 |
395 |
$4K |
| 90619 |
|
755 |
755 |
$4K |
| D1206 |
Topical application of fluoride varnish |
161 |
161 |
$3K |
| 0124A |
|
60 |
60 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
480 |
429 |
$2K |
| 90674 |
|
729 |
729 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
285 |
285 |
$2K |
| 90671 |
|
347 |
345 |
$2K |
| 90621 |
|
172 |
172 |
$2K |
| 99173 |
|
216 |
216 |
$1K |
| 0072A |
|
34 |
34 |
$1K |
| 81000 |
|
387 |
378 |
$1K |
| 83655 |
|
91 |
91 |
$877.50 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$873.74 |
| 86580 |
|
201 |
199 |
$866.45 |
| 90685 |
|
96 |
96 |
$864.00 |
| 0112A |
|
20 |
20 |
$800.00 |
| 99000 |
|
186 |
185 |
$678.81 |
| 90677 |
|
445 |
445 |
$594.00 |
| 99174 |
|
14 |
14 |
$515.20 |
| 0071A |
|
12 |
12 |
$480.00 |
| 0003A |
|
12 |
12 |
$480.00 |
| 0154A |
|
12 |
12 |
$480.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
36 |
$471.24 |
| 69210 |
|
13 |
12 |
$396.89 |
| 85999 |
|
126 |
126 |
$373.24 |
| 69209 |
|
34 |
24 |
$317.35 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$239.76 |
| 90647 |
|
25 |
25 |
$225.00 |
| 94150 |
|
15 |
15 |
$83.55 |
| 82465 |
|
13 |
13 |
$52.25 |
| 81025 |
|
13 |
13 |
$36.40 |
| 90661 |
|
492 |
492 |
$0.00 |