| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
4,692 |
4,594 |
$347K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,248 |
8,390 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,784 |
2,850 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,749 |
1,564 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,403 |
1,267 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,673 |
1,389 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,751 |
1,423 |
$89K |
| G9920 |
Screening performed and negative |
3,017 |
2,972 |
$60K |
| 92551 |
|
3,941 |
3,904 |
$50K |
| 96151 |
|
1,811 |
1,805 |
$36K |
| 86580 |
|
4,185 |
4,141 |
$18K |
| 90700 |
|
2,016 |
1,989 |
$18K |
| 90686 |
|
1,783 |
1,750 |
$16K |
| 90713 |
|
1,725 |
1,707 |
$15K |
| 90648 |
|
1,616 |
1,593 |
$14K |
| 90670 |
|
1,631 |
1,610 |
$14K |
| 87110 |
|
648 |
636 |
$10K |
| 85018 |
|
5,081 |
5,025 |
$10K |
| 81000 |
|
3,860 |
3,810 |
$9K |
| 90744 |
|
936 |
926 |
$8K |
| 90651 |
|
567 |
561 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
420 |
417 |
$6K |
| 99381 |
|
104 |
104 |
$6K |
| 96150 |
|
243 |
235 |
$5K |
| 90680 |
|
543 |
542 |
$5K |
| 90681 |
|
497 |
486 |
$4K |
| 99460 |
|
49 |
49 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
26 |
$4K |
| 90716 |
|
352 |
347 |
$3K |
| 90734 |
|
270 |
269 |
$3K |
| 90707 |
|
283 |
283 |
$3K |
| 90633 |
|
269 |
264 |
$2K |
| 90621 |
|
150 |
149 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
369 |
361 |
$2K |
| 90658 |
|
162 |
161 |
$1K |
| 83655 |
|
101 |
100 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$904.74 |
| 90688 |
|
106 |
105 |
$837.06 |
| 90655 |
|
72 |
72 |
$630.00 |
| 99462 |
|
17 |
13 |
$552.67 |
| 90715 |
|
30 |
30 |
$270.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$254.80 |
| 90619 |
|
32 |
32 |
$252.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
20 |
$231.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$210.28 |
| 87430 |
|
12 |
12 |
$90.00 |
| 99000 |
|
30 |
30 |
$81.68 |
| 99173 |
|
2,925 |
2,895 |
$16.10 |
| 99050 |
|
525 |
514 |
$0.00 |
| 36416 |
|
89 |
89 |
$0.00 |
| 36406 |
|
42 |
42 |
$0.00 |
| 94762 |
|
131 |
131 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
282 |
281 |
$0.00 |
| 91300 |
|
59 |
54 |
$0.00 |
| 90649 |
|
23 |
23 |
$0.00 |
| 92081 |
|
18 |
18 |
$0.00 |