| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
8,596 |
8,560 |
$582K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,499 |
2,492 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,096 |
6,894 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,808 |
2,786 |
$126K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,939 |
1,375 |
$119K |
| G9920 |
Screening performed and negative |
5,475 |
5,467 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,939 |
2,920 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,791 |
5,688 |
$104K |
| 92551 |
|
7,569 |
7,555 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,333 |
1,327 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
827 |
801 |
$34K |
| 96151 |
|
1,460 |
1,455 |
$33K |
| 90686 |
|
3,449 |
3,446 |
$29K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,853 |
2,793 |
$24K |
| 97802 |
|
791 |
790 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
557 |
545 |
$20K |
| 87428 |
|
262 |
258 |
$15K |
| 85018 |
|
7,214 |
7,199 |
$12K |
| 90670 |
|
1,202 |
1,198 |
$11K |
| 90633 |
|
921 |
917 |
$7K |
| 90698 |
|
681 |
680 |
$6K |
| 90651 |
|
724 |
723 |
$6K |
| 90734 |
|
548 |
548 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
507 |
251 |
$4K |
| 90620 |
|
381 |
381 |
$4K |
| 99383 |
|
54 |
54 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$4K |
| 90697 |
|
425 |
423 |
$4K |
| 90649 |
|
309 |
309 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
154 |
148 |
$3K |
| 90715 |
|
270 |
269 |
$3K |
| 90672 |
|
221 |
220 |
$2K |
| 90716 |
|
237 |
237 |
$2K |
| 90681 |
|
231 |
231 |
$2K |
| 96111 |
|
29 |
29 |
$2K |
| 90707 |
|
205 |
205 |
$2K |
| 90674 |
|
531 |
531 |
$2K |
| 90619 |
|
331 |
331 |
$2K |
| 99188 |
|
249 |
249 |
$1K |
| 90744 |
|
153 |
153 |
$1K |
| 90671 |
|
153 |
153 |
$1K |
| 96127 |
|
257 |
257 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 90480 |
|
26 |
26 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$969.80 |
| 99382 |
|
12 |
12 |
$729.60 |
| 96150 |
|
27 |
27 |
$628.02 |
| 99000 |
|
164 |
162 |
$602.58 |
| 90658 |
|
54 |
54 |
$486.00 |
| 91321 |
|
12 |
12 |
$480.00 |
| 90723 |
|
51 |
49 |
$459.00 |
| 90696 |
|
63 |
63 |
$459.00 |
| 99174 |
|
12 |
12 |
$441.60 |
| 99173 |
|
31 |
31 |
$369.40 |
| 90710 |
|
52 |
52 |
$360.00 |
| 99201 |
|
13 |
13 |
$320.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
62 |
$285.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$167.76 |
| 83655 |
|
13 |
13 |
$146.25 |
| 86580 |
|
16 |
16 |
$126.73 |
| 90621 |
|
12 |
12 |
$108.00 |
| 90677 |
|
111 |
111 |
$99.00 |
| 82465 |
|
15 |
15 |
$61.80 |
| 85999 |
|
19 |
19 |
$57.19 |
| 90661 |
|
219 |
219 |
$0.00 |