| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,177 |
50,488 |
$204K |
| D1206 |
Topical application of fluoride varnish |
13,077 |
12,957 |
$156K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,008 |
4,893 |
$84K |
| 99381 |
|
2,042 |
2,013 |
$78K |
| 96112 |
|
5,993 |
5,903 |
$49K |
| 90681 |
|
909 |
853 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,779 |
2,623 |
$42K |
| G9920 |
Screening performed and negative |
19,835 |
19,699 |
$37K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,897 |
11,724 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,531 |
10,156 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,047 |
9,273 |
$14K |
| 92551 |
|
22,725 |
22,617 |
$14K |
| G9919 |
Screening performed and positive and provision of recommendations |
6,896 |
6,846 |
$10K |
| 99383 |
|
881 |
851 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,267 |
7,630 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,231 |
2,884 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,611 |
4,467 |
$4K |
| 99384 |
|
350 |
350 |
$3K |
| 99382 |
|
220 |
209 |
$2K |
| 90651 |
|
2,771 |
2,757 |
$1K |
| 90686 |
|
5,081 |
5,041 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,261 |
1,132 |
$886.29 |
| 83655 |
|
1,059 |
1,052 |
$704.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20,917 |
20,472 |
$686.36 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
595 |
586 |
$543.56 |
| 99201 |
|
48 |
46 |
$428.16 |
| 90670 |
|
2,590 |
2,565 |
$420.12 |
| 90723 |
|
2,215 |
2,198 |
$177.66 |
| 99188 |
|
644 |
644 |
$176.40 |
| 99173 |
|
21,551 |
21,453 |
$104.23 |
| 85018 |
|
965 |
961 |
$76.84 |
| 0071A |
|
289 |
266 |
$39.60 |
| 99408 |
|
7,171 |
7,126 |
$31.24 |
| 90648 |
|
3,003 |
2,978 |
$23.54 |
| 86580 |
|
70 |
68 |
$21.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
43 |
$21.51 |
| 90473 |
|
997 |
983 |
$6.00 |
| 90700 |
|
1,117 |
1,106 |
$0.00 |
| 90633 |
|
2,417 |
2,398 |
$0.00 |
| 90715 |
|
1,339 |
1,334 |
$0.00 |
| 90671 |
|
496 |
492 |
$0.00 |
| 84439 |
|
219 |
214 |
$0.00 |
| 80061 |
Lipid panel |
189 |
184 |
$0.00 |
| 90707 |
|
249 |
246 |
$0.00 |
| 99499 |
|
661 |
661 |
$0.00 |
| 90710 |
|
2,650 |
2,638 |
$0.00 |
| 90734 |
|
1,333 |
1,321 |
$0.00 |
| 81003 |
|
621 |
600 |
$0.00 |
| 90685 |
|
34 |
34 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
249 |
246 |
$0.00 |
| 90623 |
|
12 |
12 |
$0.00 |
| 96160 |
|
530 |
529 |
$0.00 |
| 36416 |
|
444 |
444 |
$0.00 |
| 3351F |
|
1,851 |
1,831 |
$0.00 |
| 90696 |
|
1,516 |
1,512 |
$0.00 |
| 90620 |
|
246 |
242 |
$0.00 |
| 1036F |
|
7,822 |
7,776 |
$0.00 |
| 90698 |
|
102 |
101 |
$0.00 |
| 90697 |
|
162 |
162 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
815 |
796 |
$0.00 |
| 1220F |
|
1,074 |
1,052 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
247 |
242 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
257 |
251 |
$0.00 |
| 90716 |
|
282 |
279 |
$0.00 |
| 90619 |
|
670 |
669 |
$0.00 |
| 90680 |
|
121 |
120 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
451 |
451 |
$0.00 |
| 0001A |
|
14 |
14 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90677 |
|
147 |
147 |
$0.00 |
| 3044F |
|
175 |
175 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
235 |
230 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
220 |
217 |
$0.00 |
| 0072A |
|
51 |
51 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26 |
24 |
$0.00 |
| 87110 |
|
48 |
46 |
$0.00 |