| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
4,022 |
3,939 |
$216K |
| 99215 |
Prolong outpt/office vis |
2,675 |
2,443 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,467 |
5,136 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,747 |
1,731 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,505 |
5,230 |
$81K |
| G9920 |
Screening performed and negative |
3,762 |
3,696 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,667 |
1,649 |
$71K |
| 97803 |
|
3,719 |
3,674 |
$65K |
| 92551 |
|
3,207 |
3,151 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
510 |
504 |
$22K |
| 92552 |
|
1,203 |
1,193 |
$9K |
| 90686 |
|
1,187 |
1,157 |
$8K |
| 96151 |
|
535 |
503 |
$7K |
| 96127 |
|
2,252 |
2,205 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,312 |
846 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
576 |
560 |
$4K |
| 90651 |
|
332 |
329 |
$4K |
| 97802 |
|
534 |
531 |
$3K |
| 99173 |
|
1,431 |
1,396 |
$2K |
| 90734 |
|
257 |
251 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
48 |
$2K |
| 81003 |
|
891 |
889 |
$2K |
| 83026 |
|
779 |
778 |
$1K |
| 90700 |
|
98 |
97 |
$882.00 |
| 90670 |
|
70 |
68 |
$567.00 |
| 99497 |
|
71 |
69 |
$565.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
222 |
211 |
$476.35 |
| 90716 |
|
49 |
44 |
$418.50 |
| 99498 |
|
55 |
55 |
$388.50 |
| 90620 |
|
86 |
86 |
$378.00 |
| 90649 |
|
159 |
156 |
$343.79 |
| 90715 |
|
62 |
57 |
$319.50 |
| 90707 |
|
32 |
32 |
$288.00 |
| 99201 |
|
84 |
84 |
$263.95 |
| 90713 |
|
15 |
15 |
$135.00 |
| 90633 |
|
12 |
12 |
$108.00 |
| H2018 |
Psychosocial rehabilitation services, per diem |
79 |
79 |
$105.00 |
| 90656 |
|
25 |
25 |
$61.98 |
| 90662 |
|
141 |
140 |
$54.00 |
| 90619 |
|
55 |
55 |
$27.00 |
| 81002 |
|
45 |
41 |
$23.22 |
| 85018 |
|
17 |
17 |
$2.05 |
| 99408 |
|
307 |
303 |
$0.00 |