| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
4,536 |
4,532 |
$291K |
| 92081 |
|
4,191 |
4,191 |
$132K |
| 97802 |
|
4,316 |
4,223 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,603 |
2,530 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,091 |
8,576 |
$63K |
| 92551 |
|
7,343 |
7,241 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,381 |
7,087 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,995 |
3,886 |
$27K |
| 99381 |
|
266 |
258 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,749 |
2,719 |
$16K |
| G9920 |
Screening performed and negative |
6,919 |
6,917 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,127 |
3,125 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,710 |
1,688 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
589 |
579 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
693 |
624 |
$8K |
| 96161 |
|
571 |
571 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,550 |
2,275 |
$5K |
| 90670 |
|
1,257 |
1,197 |
$4K |
| 90698 |
|
943 |
908 |
$3K |
| 99406 |
|
723 |
722 |
$3K |
| 99408 |
|
193 |
193 |
$2K |
| 90744 |
|
557 |
532 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
337 |
335 |
$2K |
| 90680 |
|
512 |
486 |
$2K |
| 85018 |
|
1,726 |
1,671 |
$1K |
| 81005 |
|
1,077 |
1,031 |
$949.94 |
| 99383 |
|
30 |
30 |
$841.96 |
| 99382 |
|
28 |
26 |
$726.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,777 |
5,574 |
$506.81 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$504.25 |
| 90633 |
|
587 |
535 |
$459.00 |
| 90710 |
|
522 |
483 |
$369.00 |
| 83655 |
|
264 |
262 |
$315.72 |
| 87110 |
|
157 |
157 |
$217.12 |
| 90648 |
|
181 |
156 |
$216.00 |
| 90649 |
|
320 |
306 |
$189.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,986 |
1,968 |
$182.95 |
| 90696 |
|
232 |
217 |
$162.00 |
| 86580 |
|
587 |
570 |
$150.30 |
| 90700 |
|
170 |
140 |
$144.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
76 |
76 |
$116.00 |
| 90734 |
|
140 |
131 |
$108.00 |
| 90686 |
|
174 |
174 |
$70.47 |
| 90685 |
|
75 |
68 |
$52.54 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
470 |
444 |
$45.04 |
| 96127 |
|
12 |
12 |
$23.80 |
| 90715 |
|
22 |
21 |
$9.00 |
| 3008F |
|
1,994 |
1,879 |
$0.00 |
| 99173 |
|
1,633 |
1,535 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,346 |
1,245 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
27 |
27 |
$0.00 |