| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99381 |
|
3,505 |
3,422 |
$251K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,757 |
7,519 |
$191K |
| D1206 |
Topical application of fluoride varnish |
13,363 |
13,212 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,336 |
41,801 |
$123K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,118 |
1,114 |
$84K |
| 90681 |
|
2,863 |
2,787 |
$77K |
| 96112 |
|
6,538 |
6,445 |
$41K |
| 99382 |
|
862 |
813 |
$38K |
| 99383 |
|
1,217 |
1,151 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,736 |
12,150 |
$31K |
| 90680 |
|
895 |
792 |
$25K |
| G9920 |
Screening performed and negative |
14,325 |
14,266 |
$22K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,976 |
8,842 |
$18K |
| 90670 |
|
5,526 |
5,428 |
$17K |
| 90723 |
|
4,286 |
4,259 |
$15K |
| 99384 |
|
519 |
482 |
$14K |
| 92551 |
|
18,297 |
17,990 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,815 |
1,778 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,385 |
8,601 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,630 |
3,347 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,479 |
6,488 |
$8K |
| 99460 |
|
118 |
117 |
$6K |
| G9919 |
Screening performed and positive and provision of recommendations |
5,973 |
5,932 |
$5K |
| 90698 |
|
605 |
555 |
$2K |
| 90633 |
|
3,150 |
3,060 |
$2K |
| 90744 |
|
462 |
419 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,467 |
3,382 |
$2K |
| 90686 |
|
3,829 |
3,732 |
$2K |
| 90651 |
|
2,246 |
2,203 |
$2K |
| 90710 |
|
2,770 |
2,723 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20,990 |
20,378 |
$1K |
| 90700 |
|
1,531 |
1,492 |
$738.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$719.49 |
| 90696 |
|
1,605 |
1,575 |
$621.00 |
| 90734 |
|
1,190 |
1,150 |
$549.00 |
| 90715 |
|
1,097 |
1,072 |
$351.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
475 |
413 |
$315.80 |
| 83655 |
|
1,227 |
1,225 |
$284.04 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
380 |
377 |
$252.23 |
| 90716 |
|
501 |
480 |
$144.00 |
| 90707 |
|
511 |
489 |
$126.00 |
| 99173 |
|
17,216 |
16,897 |
$99.06 |
| 99188 |
|
322 |
322 |
$89.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
111 |
$62.57 |
| 99408 |
|
4,116 |
4,111 |
$62.48 |
| 85018 |
|
970 |
968 |
$30.75 |
| 90473 |
|
1,869 |
1,817 |
$22.42 |
| 87110 |
|
26 |
26 |
$18.83 |
| 3351F |
|
1,458 |
1,453 |
$0.00 |
| 1220F |
|
906 |
884 |
$0.00 |
| 1036F |
|
4,681 |
4,675 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
313 |
311 |
$0.00 |
| 3044F |
|
65 |
65 |
$0.00 |
| 90619 |
|
284 |
284 |
$0.00 |
| 86580 |
|
93 |
75 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
167 |
167 |
$0.00 |
| 90677 |
|
167 |
167 |
$0.00 |
| 36416 |
|
460 |
460 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
299 |
297 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
468 |
448 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
414 |
401 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
988 |
963 |
$0.00 |
| 85652 |
|
41 |
39 |
$0.00 |
| 90620 |
|
183 |
159 |
$0.00 |
| 87070 |
|
81 |
80 |
$0.00 |
| 90697 |
|
191 |
188 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
14 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
55 |
53 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
129 |
128 |
$0.00 |
| 86140 |
|
19 |
16 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
27 |
$0.00 |
| 99499 |
|
271 |
271 |
$0.00 |
| 90671 |
|
349 |
347 |
$0.00 |
| 90685 |
|
93 |
74 |
$0.00 |
| 96160 |
|
290 |
288 |
$0.00 |
| 80061 |
Lipid panel |
256 |
253 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
411 |
389 |
$0.00 |
| 90623 |
|
12 |
12 |
$0.00 |
| 90648 |
|
3,564 |
3,510 |
$0.00 |
| 99201 |
|
45 |
33 |
$0.00 |
| 82785 |
|
13 |
12 |
$0.00 |
| 84439 |
|
284 |
282 |
$0.00 |
| 81003 |
|
684 |
673 |
$0.00 |
| 86003 |
|
14 |
14 |
$0.00 |
| 0071A |
|
13 |
13 |
$0.00 |