| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,850 |
14,516 |
$40K |
| 99460 |
|
613 |
608 |
$30K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
610 |
597 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
533 |
522 |
$17K |
| D1206 |
Topical application of fluoride varnish |
1,864 |
1,269 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,338 |
3,004 |
$13K |
| 99188 |
|
1,017 |
1,016 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,024 |
2,916 |
$8K |
| 90670 |
|
1,085 |
1,079 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
851 |
851 |
$6K |
| 90698 |
|
738 |
731 |
$4K |
| 90744 |
|
563 |
561 |
$4K |
| 92551 |
|
420 |
420 |
$3K |
| 90649 |
|
660 |
656 |
$3K |
| 90734 |
|
457 |
457 |
$2K |
| 90686 |
|
420 |
420 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,943 |
1,921 |
$2K |
| 90697 |
|
13 |
13 |
$2K |
| G9920 |
Screening performed and negative |
1,142 |
1,133 |
$2K |
| 90633 |
|
482 |
481 |
$2K |
| 99381 |
|
14 |
14 |
$2K |
| 90688 |
|
430 |
430 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,672 |
1,632 |
$2K |
| 90710 |
|
341 |
340 |
$1K |
| 90620 |
|
246 |
246 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
131 |
129 |
$1K |
| 90681 |
|
168 |
168 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,305 |
2,268 |
$1K |
| 90715 |
|
153 |
153 |
$731.76 |
| 90696 |
|
93 |
93 |
$458.31 |
| 92552 |
|
28 |
28 |
$419.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
777 |
770 |
$281.30 |
| 90700 |
|
36 |
36 |
$141.00 |
| 90648 |
|
20 |
20 |
$123.00 |
| 90677 |
|
15 |
15 |
$116.91 |
| 83655 |
|
358 |
357 |
$105.40 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
217 |
211 |
$101.87 |
| 90716 |
|
25 |
25 |
$101.82 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
455 |
446 |
$99.66 |
| 96156 |
|
67 |
67 |
$83.46 |
| 90619 |
|
24 |
24 |
$80.91 |
| 90473 |
|
12 |
12 |
$66.00 |
| 90707 |
|
13 |
13 |
$35.82 |
| 98966 |
|
48 |
46 |
$20.60 |
| 87110 |
|
26 |
26 |
$15.52 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
14 |
14 |
$6.50 |
| 86580 |
|
16 |
16 |
$3.33 |
| 99173 |
|
599 |
597 |
$2.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
99 |
99 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
414 |
408 |
$0.00 |
| 90621 |
|
14 |
14 |
$0.00 |
| 99446 |
|
359 |
350 |
$0.00 |
| 3354F |
|
79 |
79 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
305 |
297 |
$0.00 |
| 3351F |
|
306 |
302 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
217 |
216 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$0.00 |