| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
5,715 |
5,656 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,443 |
6,974 |
$168K |
| 97802 |
|
5,832 |
5,786 |
$136K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,314 |
2,295 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,346 |
7,129 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,306 |
2,289 |
$112K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,521 |
1,339 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,629 |
1,607 |
$69K |
| 92551 |
|
5,714 |
5,675 |
$64K |
| 96151 |
|
1,838 |
1,826 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
883 |
868 |
$39K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,675 |
2,652 |
$34K |
| 90686 |
|
3,763 |
3,752 |
$27K |
| G9920 |
Screening performed and negative |
1,034 |
1,016 |
$26K |
| 99406 |
|
2,545 |
2,522 |
$20K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,182 |
1,169 |
$20K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,265 |
2,245 |
$20K |
| 81000 |
|
5,195 |
5,160 |
$12K |
| 90651 |
|
733 |
730 |
$11K |
| 91320 |
|
105 |
99 |
$9K |
| 85014 |
|
4,397 |
4,359 |
$9K |
| 90670 |
|
778 |
768 |
$8K |
| D1206 |
Topical application of fluoride varnish |
432 |
429 |
$7K |
| 90734 |
|
565 |
564 |
$6K |
| 90685 |
|
816 |
809 |
$6K |
| H0049 |
Alcohol and/or drug screening |
256 |
256 |
$6K |
| 0071A |
|
140 |
140 |
$6K |
| 0072A |
|
130 |
130 |
$5K |
| 90700 |
|
434 |
429 |
$4K |
| 91319 |
|
56 |
54 |
$4K |
| 96127 |
|
1,011 |
1,005 |
$3K |
| 90620 |
|
377 |
375 |
$3K |
| 96150 |
|
130 |
129 |
$3K |
| 0154A |
|
65 |
65 |
$3K |
| 90680 |
|
256 |
250 |
$3K |
| 90633 |
|
282 |
279 |
$2K |
| 90713 |
|
245 |
240 |
$2K |
| 90707 |
|
251 |
250 |
$2K |
| 90716 |
|
257 |
256 |
$2K |
| 90648 |
|
225 |
219 |
$2K |
| 0003A |
|
47 |
47 |
$2K |
| 80061 |
Lipid panel |
155 |
155 |
$2K |
| 90698 |
|
194 |
192 |
$2K |
| 0124A |
|
43 |
43 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
144 |
143 |
$2K |
| 92552 |
|
88 |
88 |
$1K |
| 0001A |
|
31 |
31 |
$1K |
| 90715 |
|
113 |
113 |
$1K |
| 99173 |
|
756 |
748 |
$1K |
| 90744 |
|
82 |
80 |
$729.00 |
| 90480 |
|
21 |
21 |
$680.00 |
| 0073A |
|
16 |
16 |
$640.00 |
| 99188 |
|
46 |
46 |
$578.00 |
| 0082A |
|
12 |
12 |
$480.00 |
| 0002A |
|
12 |
12 |
$480.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
61 |
60 |
$405.71 |
| 69210 |
|
12 |
12 |
$305.30 |
| 86580 |
|
59 |
58 |
$258.95 |
| 90619 |
|
64 |
63 |
$135.00 |
| 90671 |
|
39 |
39 |
$126.00 |
| 87270 |
|
72 |
71 |
$121.79 |
| 90656 |
|
13 |
13 |
$117.00 |
| 90672 |
|
24 |
24 |
$117.00 |
| 96160 |
|
28 |
28 |
$17.44 |
| 3074F |
|
63 |
59 |
$0.00 |
| 3078F |
|
60 |
57 |
$0.00 |