| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
4,156 |
4,150 |
$120K |
| 99243 |
|
1,982 |
1,980 |
$120K |
| 96156 |
|
5,348 |
5,343 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,437 |
1,436 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,132 |
17,773 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,206 |
1,206 |
$68K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
807 |
514 |
$51K |
| 59425 |
|
732 |
452 |
$46K |
| 92551 |
|
3,398 |
3,393 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
760 |
754 |
$37K |
| 90686 |
|
2,399 |
2,396 |
$34K |
| 96150 |
|
1,743 |
1,733 |
$30K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,217 |
1,215 |
$20K |
| 88150 |
|
1,727 |
1,722 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
133 |
133 |
$16K |
| 90715 |
|
522 |
521 |
$14K |
| 81000 |
|
3,918 |
3,917 |
$12K |
| 85018 |
|
4,346 |
4,339 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
112 |
111 |
$8K |
| 90688 |
|
491 |
488 |
$7K |
| 99496 |
|
14 |
14 |
$3K |
| 90734 |
|
264 |
264 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
55 |
$2K |
| 90651 |
|
241 |
241 |
$2K |
| H0049 |
Alcohol and/or drug screening |
74 |
74 |
$2K |
| 81025 |
|
562 |
551 |
$1K |
| 90621 |
|
155 |
155 |
$1K |
| 90670 |
|
141 |
138 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
112 |
$1K |
| 90698 |
|
110 |
109 |
$990.00 |
| 82465 |
|
150 |
146 |
$715.24 |
| 90716 |
|
54 |
53 |
$486.00 |
| 90707 |
|
54 |
54 |
$477.00 |
| 96151 |
|
307 |
307 |
$180.00 |
| 90685 |
|
17 |
17 |
$153.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$132.73 |
| 90680 |
|
14 |
14 |
$126.00 |
| 90619 |
|
14 |
14 |
$126.00 |
| 86580 |
|
33 |
33 |
$110.88 |
| 90633 |
|
12 |
12 |
$108.00 |
| 90744 |
|
12 |
12 |
$108.00 |
| 99173 |
|
239 |
201 |
$2.30 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
459 |
457 |
$0.00 |
| 92552 |
|
147 |
147 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,382 |
2,332 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
572 |
571 |
$0.00 |
| 96127 |
|
93 |
93 |
$0.00 |