| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,492 |
1,449 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,253 |
2,951 |
$115K |
| G9920 |
Screening performed and negative |
1,171 |
1,148 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
356 |
311 |
$20K |
| 97802 |
|
1,434 |
1,408 |
$20K |
| 92551 |
|
1,378 |
1,354 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
255 |
216 |
$18K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
317 |
317 |
$16K |
| 96150 |
|
606 |
603 |
$13K |
| 87110 |
|
470 |
455 |
$8K |
| 90686 |
|
759 |
747 |
$7K |
| 80061 |
Lipid panel |
539 |
523 |
$6K |
| D1206 |
Topical application of fluoride varnish |
256 |
256 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
50 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
825 |
809 |
$4K |
| 81000 |
|
1,439 |
1,406 |
$4K |
| 87070 |
|
506 |
484 |
$4K |
| 99000 |
|
592 |
580 |
$2K |
| 85018 |
|
933 |
903 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 85014 |
|
693 |
690 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
12 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$600.00 |
| 90700 |
|
58 |
58 |
$522.00 |
| 90660 |
|
53 |
53 |
$477.00 |
| 90713 |
|
40 |
40 |
$360.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
53 |
$308.14 |
| 90672 |
|
26 |
26 |
$234.00 |
| 90648 |
|
12 |
12 |
$108.00 |
| 90670 |
|
12 |
12 |
$108.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
27 |
$77.27 |
| 86580 |
|
17 |
17 |
$71.70 |
| 96151 |
|
26 |
26 |
$52.32 |
| 82947 |
|
12 |
12 |
$37.63 |
| H0049 |
Alcohol and/or drug screening |
32 |
32 |
$24.00 |
| 82465 |
|
12 |
12 |
$23.80 |
| G8708 |
Patient not prescribed antibiotic |
89 |
88 |
$0.00 |