| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,086 |
5,333 |
$117K |
| 96156 |
|
2,283 |
2,153 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,362 |
1,092 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,180 |
971 |
$53K |
| 92551 |
|
2,817 |
2,804 |
$30K |
| 97802 |
|
1,634 |
1,631 |
$26K |
| 87110 |
|
1,215 |
1,210 |
$21K |
| 96151 |
|
1,073 |
941 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
414 |
358 |
$18K |
| 97803 |
|
610 |
607 |
$9K |
| 90686 |
|
1,142 |
1,140 |
$9K |
| 87070 |
|
1,216 |
1,210 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
50 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
316 |
295 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
68 |
67 |
$2K |
| 90688 |
|
228 |
228 |
$2K |
| 96150 |
|
81 |
79 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
253 |
252 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
24 |
$1K |
| 90700 |
|
141 |
139 |
$1K |
| 90651 |
|
110 |
110 |
$990.00 |
| 90734 |
|
99 |
99 |
$891.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
53 |
52 |
$686.08 |
| 85014 |
|
305 |
304 |
$675.32 |
| G9920 |
Screening performed and negative |
403 |
403 |
$667.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$650.00 |
| 90713 |
|
66 |
65 |
$594.00 |
| H0049 |
Alcohol and/or drug screening |
13 |
13 |
$312.00 |
| 90619 |
|
42 |
42 |
$252.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
38 |
$235.35 |
| 90648 |
|
26 |
25 |
$234.00 |
| 83655 |
|
13 |
13 |
$146.25 |
| 90670 |
|
12 |
12 |
$108.00 |
| 90620 |
|
25 |
25 |
$108.00 |
| 90716 |
|
12 |
12 |
$108.00 |
| 90656 |
|
53 |
53 |
$9.00 |
| 3008F |
|
480 |
472 |
$0.00 |