| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,471 |
10,298 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,606 |
29,362 |
$114K |
| 90686 |
|
4,426 |
4,317 |
$78K |
| 90670 |
|
4,214 |
4,128 |
$75K |
| 90698 |
|
3,114 |
3,050 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,592 |
6,064 |
$47K |
| 90680 |
|
1,726 |
1,685 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,114 |
5,980 |
$22K |
| 90633 |
|
1,054 |
1,033 |
$19K |
| 90744 |
|
1,018 |
985 |
$18K |
| 90685 |
|
910 |
884 |
$16K |
| 99188 |
|
1,166 |
1,150 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,443 |
2,294 |
$12K |
| 90651 |
|
487 |
477 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
901 |
881 |
$8K |
| 90671 |
|
423 |
419 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,047 |
2,014 |
$7K |
| 90656 |
|
271 |
271 |
$5K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
14 |
12 |
$3K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
33 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
529 |
522 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
40 |
$2K |
| 90697 |
|
123 |
122 |
$2K |
| 90734 |
|
128 |
123 |
$2K |
| 0002A |
|
48 |
48 |
$2K |
| 99381 |
|
137 |
130 |
$2K |
| 90710 |
|
95 |
93 |
$2K |
| 90688 |
|
86 |
83 |
$2K |
| 92558 |
|
140 |
133 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
321 |
310 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
614 |
583 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
344 |
330 |
$1K |
| 90707 |
|
69 |
68 |
$1K |
| 90715 |
|
68 |
68 |
$1K |
| 90716 |
|
57 |
55 |
$1K |
| 90696 |
|
52 |
52 |
$974.13 |
| 0001A |
|
24 |
24 |
$920.00 |
| 0071A |
|
20 |
19 |
$560.00 |
| 0072A |
|
16 |
14 |
$520.00 |
| 90619 |
|
20 |
20 |
$386.56 |
| 99382 |
|
120 |
113 |
$356.83 |
| 99173 |
|
103 |
101 |
$337.82 |
| 99383 |
|
81 |
80 |
$279.30 |
| 90700 |
|
13 |
13 |
$249.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
14 |
$244.76 |
| 87807 |
|
15 |
15 |
$136.08 |
| 99384 |
|
79 |
75 |
$105.13 |
| 81002 |
|
28 |
28 |
$59.07 |
| 96160 |
|
16 |
16 |
$46.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
36 |
25 |
$26.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$17.68 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 91300 |
|
103 |
100 |
$0.00 |
| 91307 |
|
42 |
39 |
$0.00 |