| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,032 |
28,190 |
$507K |
| D1206 |
Topical application of fluoride varnish |
9,958 |
9,335 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,838 |
1,778 |
$128K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,936 |
5,891 |
$70K |
| 97803 |
|
11,889 |
11,797 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,347 |
4,220 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,861 |
3,836 |
$43K |
| 90686 |
|
4,563 |
4,501 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
150 |
149 |
$21K |
| 90672 |
|
2,641 |
2,587 |
$18K |
| 99188 |
|
1,922 |
1,865 |
$17K |
| 99381 |
|
212 |
212 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
789 |
750 |
$16K |
| 92551 |
|
1,621 |
1,613 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
384 |
384 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,430 |
3,419 |
$11K |
| 90700 |
|
1,666 |
1,649 |
$9K |
| 90651 |
|
1,612 |
1,597 |
$9K |
| 0071A |
|
227 |
227 |
$9K |
| 0072A |
|
214 |
214 |
$9K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,403 |
1,400 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
345 |
344 |
$8K |
| 90670 |
|
1,178 |
1,162 |
$8K |
| 90713 |
|
1,292 |
1,272 |
$7K |
| G9920 |
Screening performed and negative |
1,102 |
1,101 |
$7K |
| 90734 |
|
866 |
861 |
$5K |
| 99406 |
|
1,387 |
1,367 |
$5K |
| 90680 |
|
653 |
651 |
$4K |
| 90744 |
|
589 |
582 |
$4K |
| 90647 |
|
755 |
748 |
$4K |
| 0054A |
|
90 |
90 |
$4K |
| 0124A |
|
88 |
88 |
$4K |
| 90716 |
|
583 |
576 |
$3K |
| 90707 |
|
590 |
585 |
$3K |
| 0154A |
|
76 |
76 |
$3K |
| 90633 |
|
631 |
621 |
$3K |
| 0001A |
|
66 |
66 |
$3K |
| 86580 |
|
683 |
672 |
$2K |
| 90677 |
|
247 |
244 |
$2K |
| 90715 |
|
347 |
343 |
$2K |
| 0004A |
|
48 |
48 |
$2K |
| 90619 |
|
277 |
277 |
$2K |
| 0002A |
|
42 |
42 |
$2K |
| 90620 |
|
269 |
267 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
49 |
39 |
$1K |
| 0052A |
|
29 |
29 |
$1K |
| 90671 |
|
119 |
119 |
$1K |
| 0074A |
|
25 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,591 |
1,532 |
$882.69 |
| 90698 |
|
102 |
102 |
$736.74 |
| 97802 |
|
27 |
26 |
$618.75 |
| 0081A |
|
15 |
15 |
$600.00 |
| 0051A |
|
12 |
12 |
$480.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
1,754 |
1,742 |
$369.52 |
| 90380 |
|
27 |
27 |
$225.00 |
| 99383 |
|
12 |
12 |
$217.12 |
| 90696 |
|
12 |
12 |
$75.00 |
| 90381 |
|
16 |
16 |
$57.00 |
| 90685 |
|
212 |
197 |
$55.00 |
| 90688 |
|
22 |
22 |
$54.00 |
| 99408 |
|
1,536 |
1,532 |
$0.00 |
| 81003 |
|
190 |
188 |
$0.00 |
| 84439 |
|
25 |
25 |
$0.00 |
| 96160 |
|
48 |
48 |
$0.00 |
| 83655 |
|
250 |
246 |
$0.00 |
| 90687 |
|
174 |
171 |
$0.00 |
| 90710 |
|
17 |
17 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
75 |
75 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$0.00 |
| 3008F |
|
11,771 |
11,644 |
$0.00 |
| 1220F |
|
3,913 |
3,901 |
$0.00 |
| 3351F |
|
950 |
946 |
$0.00 |
| 3079F |
|
171 |
170 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
553 |
552 |
$0.00 |
| 96161 |
|
101 |
100 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
412 |
405 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
500 |
498 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
160 |
160 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
87 |
87 |
$0.00 |
| 94760 |
|
14 |
13 |
$0.00 |
| 85018 |
|
254 |
250 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
31 |
31 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
53 |
$0.00 |
| 85027 |
|
44 |
44 |
$0.00 |
| 3074F |
|
171 |
170 |
$0.00 |
| 84480 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$0.00 |