| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97802 |
|
17,804 |
17,625 |
$472K |
| G9920 |
Screening performed and negative |
13,149 |
13,127 |
$394K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,791 |
16,513 |
$270K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,440 |
4,424 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,703 |
23,602 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,845 |
3,809 |
$62K |
| 96127 |
|
13,950 |
13,907 |
$61K |
| D1206 |
Topical application of fluoride varnish |
2,526 |
2,510 |
$54K |
| 99381 |
|
1,059 |
1,044 |
$52K |
| 99173 |
|
12,942 |
12,935 |
$40K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,398 |
3,398 |
$33K |
| 90697 |
|
1,503 |
1,501 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,178 |
3,040 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,627 |
7,590 |
$30K |
| 99406 |
|
3,031 |
3,031 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,112 |
6,107 |
$25K |
| 99383 |
|
1,788 |
1,784 |
$24K |
| 99382 |
|
1,279 |
1,276 |
$23K |
| 99188 |
|
1,158 |
1,149 |
$22K |
| 83655 |
|
1,566 |
1,550 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,471 |
3,468 |
$12K |
| 92551 |
|
13,635 |
13,581 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,165 |
1,138 |
$7K |
| G9919 |
Screening performed and positive and provision of recommendations |
218 |
218 |
$7K |
| 90651 |
|
1,731 |
1,729 |
$6K |
| 90670 |
|
3,839 |
3,818 |
$6K |
| 99384 |
|
533 |
533 |
$6K |
| 0072A |
|
141 |
141 |
$6K |
| 0071A |
|
141 |
141 |
$6K |
| 90710 |
|
1,355 |
1,350 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
209 |
209 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
326 |
324 |
$5K |
| 90680 |
|
2,478 |
2,461 |
$4K |
| 90686 |
|
5,769 |
5,758 |
$3K |
| 90677 |
|
235 |
235 |
$2K |
| 90716 |
|
1,382 |
1,376 |
$2K |
| 90633 |
|
2,856 |
2,846 |
$2K |
| 90723 |
|
1,556 |
1,543 |
$2K |
| 90696 |
|
1,368 |
1,365 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
587 |
578 |
$1K |
| 90707 |
|
1,252 |
1,246 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
98 |
$1K |
| 94060 |
|
33 |
29 |
$1K |
| 90648 |
|
1,182 |
1,172 |
$1K |
| 90619 |
|
496 |
496 |
$1K |
| 90647 |
|
1,345 |
1,339 |
$932.41 |
| 0001A |
|
23 |
23 |
$920.00 |
| 90734 |
|
879 |
878 |
$914.91 |
| 90715 |
|
959 |
957 |
$799.43 |
| 0002A |
|
19 |
19 |
$760.00 |
| 0082A |
|
15 |
15 |
$600.00 |
| 90700 |
|
1,189 |
1,186 |
$477.19 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
29 |
$325.24 |
| 90685 |
|
119 |
117 |
$165.32 |
| 94664 |
|
20 |
17 |
$157.71 |
| 81003 |
|
70 |
69 |
$127.72 |
| 87430 |
|
15 |
15 |
$109.01 |
| 90656 |
|
273 |
272 |
$83.81 |
| 90674 |
|
115 |
114 |
$27.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
18 |
16 |
$0.75 |
| 94760 |
|
29 |
27 |
$0.00 |