| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27,535 |
27,053 |
$459K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,355 |
39,838 |
$348K |
| G9920 |
Screening performed and negative |
30,353 |
29,753 |
$336K |
| 96156 |
|
30,485 |
30,063 |
$258K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,714 |
6,489 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,459 |
8,292 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,810 |
7,754 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,518 |
7,217 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,826 |
4,807 |
$81K |
| 90697 |
|
2,833 |
2,742 |
$72K |
| 99072 |
|
1,605 |
1,517 |
$69K |
| 92551 |
|
18,893 |
18,676 |
$57K |
| 80061 |
Lipid panel |
17,350 |
17,260 |
$46K |
| 90671 |
|
2,008 |
1,974 |
$39K |
| 99381 |
|
1,030 |
1,004 |
$38K |
| 99383 |
|
1,206 |
1,187 |
$36K |
| H0049 |
Alcohol and/or drug screening |
5,670 |
5,653 |
$34K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,899 |
4,882 |
$28K |
| 83655 |
|
5,390 |
5,281 |
$22K |
| 90670 |
|
2,343 |
2,239 |
$21K |
| 90651 |
|
2,315 |
2,302 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
686 |
673 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,864 |
7,870 |
$18K |
| 99384 |
|
546 |
544 |
$17K |
| 90686 |
|
4,881 |
4,834 |
$17K |
| 99382 |
|
502 |
496 |
$15K |
| 90680 |
|
3,078 |
2,960 |
$14K |
| 90710 |
|
2,159 |
2,130 |
$14K |
| 97802 |
|
5,262 |
5,223 |
$13K |
| 90619 |
|
1,311 |
1,302 |
$13K |
| 90633 |
|
3,069 |
2,994 |
$11K |
| 99188 |
|
1,050 |
1,037 |
$10K |
| D1206 |
Topical application of fluoride varnish |
2,535 |
2,505 |
$10K |
| 90620 |
|
808 |
802 |
$8K |
| 3074F |
|
1,793 |
1,708 |
$8K |
| 90716 |
|
1,059 |
1,034 |
$6K |
| 98960 |
|
2,257 |
2,198 |
$6K |
| 90648 |
|
1,584 |
1,515 |
$6K |
| 90715 |
|
1,374 |
1,359 |
$5K |
| 90696 |
|
1,317 |
1,308 |
$5K |
| 90656 |
|
942 |
938 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
513 |
503 |
$4K |
| 90700 |
|
1,433 |
1,399 |
$4K |
| 99173 |
|
10,901 |
10,849 |
$4K |
| 96127 |
|
607 |
605 |
$4K |
| 90723 |
|
829 |
785 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,805 |
1,483 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
213 |
210 |
$3K |
| 90480 |
|
92 |
91 |
$3K |
| 90677 |
|
623 |
606 |
$3K |
| 99460 |
|
222 |
220 |
$3K |
| 90707 |
|
845 |
833 |
$3K |
| 90461 |
|
2,758 |
2,642 |
$3K |
| 91321 |
|
47 |
46 |
$2K |
| 90744 |
|
747 |
732 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
77 |
75 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
221 |
219 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,839 |
3,682 |
$2K |
| 90734 |
|
372 |
363 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,472 |
6,443 |
$1K |
| 90713 |
|
378 |
363 |
$1K |
| 90698 |
|
402 |
394 |
$1K |
| 90685 |
|
476 |
458 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
77 |
77 |
$1K |
| 90621 |
|
71 |
71 |
$472.00 |
| 90660 |
|
36 |
36 |
$324.00 |
| 99401 |
|
7,017 |
6,966 |
$203.82 |
| 94760 |
|
268 |
261 |
$60.83 |
| 0072A |
|
13 |
13 |
$38.39 |
| 81002 |
|
59 |
58 |
$29.00 |
| D0120 |
Periodic oral evaluation - established patient |
4,596 |
4,549 |
$25.00 |
| 99441 |
|
1,303 |
1,194 |
$10.26 |
| 90474 |
|
30 |
30 |
$7.82 |
| 3078F |
|
1,681 |
1,607 |
$0.00 |
| 99442 |
|
325 |
298 |
$0.00 |
| 99050 |
|
17 |
17 |
$0.00 |
| 3008F |
|
134 |
134 |
$0.00 |
| 91307 |
|
15 |
12 |
$0.00 |
| 85018 |
|
36 |
33 |
$0.00 |