| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,446 |
15,127 |
$461K |
| 97802 |
|
5,721 |
5,537 |
$193K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,663 |
7,488 |
$138K |
| 96156 |
|
1,020 |
1,011 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,197 |
1,134 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,429 |
2,351 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,592 |
1,553 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,631 |
1,598 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,189 |
2,130 |
$37K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,516 |
1,406 |
$34K |
| 99381 |
|
538 |
531 |
$34K |
| 92551 |
|
1,716 |
1,693 |
$20K |
| G9920 |
Screening performed and negative |
568 |
567 |
$19K |
| 90677 |
|
53 |
53 |
$14K |
| 99173 |
|
1,639 |
1,632 |
$6K |
| H0049 |
Alcohol and/or drug screening |
206 |
206 |
$4K |
| 87430 |
|
446 |
438 |
$4K |
| 99460 |
|
52 |
52 |
$3K |
| 90698 |
|
1,842 |
1,809 |
$3K |
| 90670 |
|
1,980 |
1,948 |
$3K |
| 90680 |
|
731 |
708 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
154 |
154 |
$2K |
| 90744 |
|
1,105 |
1,078 |
$2K |
| 90686 |
|
1,851 |
1,845 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,039 |
902 |
$1K |
| 99462 |
|
41 |
39 |
$1K |
| 99188 |
|
57 |
57 |
$1K |
| D1206 |
Topical application of fluoride varnish |
44 |
44 |
$1K |
| 90707 |
|
1,234 |
1,209 |
$935.90 |
| 90716 |
|
1,267 |
1,231 |
$763.25 |
| 90696 |
|
470 |
446 |
$606.15 |
| 0071A |
|
13 |
13 |
$520.00 |
| 90633 |
|
978 |
964 |
$388.08 |
| 90685 |
|
50 |
44 |
$372.43 |
| 90715 |
|
525 |
513 |
$316.17 |
| 90734 |
|
298 |
293 |
$267.00 |
| 90649 |
|
109 |
109 |
$193.00 |
| 90651 |
|
121 |
121 |
$72.00 |
| 96127 |
|
12 |
12 |
$69.24 |
| 90700 |
|
37 |
37 |
$54.00 |
| 90619 |
|
65 |
65 |
$27.00 |
| 90648 |
|
26 |
26 |
$18.00 |
| 90688 |
|
47 |
47 |
$0.00 |