| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
8,180 |
8,046 |
$595K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,467 |
4,195 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,524 |
2,497 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,746 |
2,720 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,285 |
2,258 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,819 |
1,746 |
$96K |
| 97802 |
|
3,478 |
3,459 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,516 |
1,467 |
$88K |
| 92551 |
|
6,190 |
6,131 |
$73K |
| G9920 |
Screening performed and negative |
3,146 |
3,132 |
$55K |
| 96151 |
|
2,222 |
2,195 |
$52K |
| 97803 |
|
1,180 |
1,172 |
$46K |
| 99381 |
|
212 |
211 |
$24K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,564 |
1,557 |
$18K |
| 99173 |
|
1,256 |
1,242 |
$18K |
| 90658 |
|
2,043 |
2,030 |
$15K |
| 85018 |
|
6,881 |
6,810 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
825 |
793 |
$13K |
| 90670 |
|
1,363 |
1,343 |
$12K |
| 81005 |
|
5,256 |
5,198 |
$10K |
| 90698 |
|
1,065 |
1,052 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
846 |
843 |
$7K |
| 90649 |
|
817 |
813 |
$6K |
| 90734 |
|
818 |
813 |
$6K |
| 83655 |
|
458 |
369 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
280 |
275 |
$5K |
| 90633 |
|
585 |
581 |
$5K |
| 90657 |
|
590 |
589 |
$5K |
| 99460 |
|
87 |
87 |
$5K |
| 90707 |
|
542 |
539 |
$4K |
| 90716 |
|
544 |
541 |
$4K |
| 90700 |
|
531 |
529 |
$4K |
| 99451 |
|
138 |
135 |
$4K |
| 90744 |
|
481 |
478 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83 |
44 |
$3K |
| 90620 |
|
382 |
381 |
$3K |
| 99462 |
|
166 |
103 |
$2K |
| 90680 |
|
240 |
236 |
$2K |
| 90715 |
|
194 |
194 |
$2K |
| 99421 |
|
80 |
70 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
26 |
$952.24 |
| 90713 |
|
78 |
78 |
$513.00 |
| 90677 |
|
208 |
208 |
$450.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$425.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$346.80 |
| 87430 |
|
28 |
27 |
$328.60 |
| 86580 |
|
12 |
12 |
$51.96 |
| 90648 |
|
13 |
13 |
$27.00 |