| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,261 |
2,130 |
$134K |
| 96156 |
|
1,953 |
1,940 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,509 |
2,370 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
637 |
635 |
$30K |
| 99173 |
|
1,370 |
1,365 |
$21K |
| 92551 |
|
2,050 |
2,046 |
$21K |
| 97802 |
|
1,479 |
1,475 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
439 |
437 |
$15K |
| 96151 |
|
412 |
411 |
$12K |
| 81000 |
|
1,931 |
1,924 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
722 |
721 |
$8K |
| 85014 |
|
1,278 |
1,272 |
$7K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
649 |
646 |
$7K |
| 90686 |
|
788 |
787 |
$7K |
| 96160 |
|
391 |
388 |
$3K |
| 99406 |
|
814 |
813 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
88 |
88 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
143 |
$2K |
| G9920 |
Screening performed and negative |
393 |
391 |
$2K |
| 90658 |
|
130 |
130 |
$1K |
| 91320 |
|
14 |
14 |
$1K |
| 90734 |
|
42 |
41 |
$792.00 |
| 96127 |
|
153 |
152 |
$680.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
113 |
79 |
$618.16 |
| 92552 |
|
29 |
29 |
$580.00 |
| H0049 |
Alcohol and/or drug screening |
29 |
29 |
$576.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
85 |
85 |
$540.64 |
| 83655 |
|
16 |
16 |
$359.20 |
| 90656 |
|
134 |
134 |
$288.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
45 |
45 |
$240.00 |
| 90619 |
|
104 |
103 |
$225.00 |
| 90649 |
|
24 |
24 |
$216.00 |
| 90620 |
|
65 |
65 |
$108.00 |
| 90651 |
|
54 |
54 |
$81.00 |
| 86580 |
|
19 |
19 |
$39.55 |
| 90677 |
|
39 |
39 |
$9.00 |
| 85999 |
|
14 |
14 |
$3.01 |
| 3078F |
|
305 |
294 |
$0.00 |
| 99188 |
|
149 |
149 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
86 |
86 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 87270 |
|
85 |
85 |
$0.00 |
| 97803 |
|
605 |
603 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 3074F |
|
307 |
296 |
$0.00 |
| 3008F |
|
154 |
153 |
$0.00 |
| 90716 |
|
32 |
32 |
$0.00 |
| 81001 |
|
13 |
13 |
$0.00 |