| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
4,858 |
4,780 |
$41K |
| 90620 |
|
437 |
434 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,872 |
4,625 |
$7K |
| 90651 |
|
1,046 |
1,029 |
$6K |
| 90480 |
|
138 |
138 |
$6K |
| 99215 |
Prolong outpt/office vis |
3,711 |
3,558 |
$5K |
| 90686 |
|
2,477 |
2,467 |
$4K |
| 0071A |
|
78 |
78 |
$3K |
| G9920 |
Screening performed and negative |
2,672 |
2,669 |
$3K |
| 0001A |
|
63 |
63 |
$3K |
| 90734 |
|
565 |
553 |
$2K |
| 0072A |
|
55 |
55 |
$2K |
| 0002A |
|
50 |
50 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
497 |
471 |
$2K |
| 90670 |
|
410 |
389 |
$2K |
| 90715 |
|
563 |
555 |
$2K |
| 90648 |
|
399 |
377 |
$1K |
| 96156 |
|
594 |
592 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,227 |
1,207 |
$1K |
| 0124A |
|
27 |
27 |
$1K |
| 90619 |
|
205 |
204 |
$994.93 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,512 |
1,485 |
$931.26 |
| 90633 |
|
204 |
197 |
$924.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
190 |
189 |
$650.49 |
| 97803 |
|
3,277 |
3,237 |
$609.98 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,772 |
1,755 |
$544.25 |
| 0004A |
|
13 |
13 |
$520.00 |
| 0134A |
|
12 |
12 |
$480.00 |
| 90723 |
|
79 |
72 |
$260.91 |
| 97802 |
|
1,079 |
1,041 |
$258.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
732 |
727 |
$251.84 |
| 90700 |
|
27 |
26 |
$207.00 |
| 85018 |
|
5,833 |
5,735 |
$201.05 |
| 90680 |
|
26 |
25 |
$117.00 |
| 99406 |
|
2,739 |
2,636 |
$112.37 |
| 90710 |
|
13 |
13 |
$108.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
279 |
274 |
$107.55 |
| 81002 |
|
5,041 |
4,950 |
$98.70 |
| 90656 |
|
59 |
59 |
$98.40 |
| 90707 |
|
13 |
12 |
$90.00 |
| 90716 |
|
13 |
13 |
$90.00 |
| 90685 |
|
13 |
12 |
$72.00 |
| 83655 |
|
540 |
540 |
$67.43 |
| 99000 |
|
897 |
869 |
$41.66 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
72 |
67 |
$34.34 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
64 |
64 |
$32.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,149 |
1,147 |
$23.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,157 |
4,071 |
$17.68 |
| 99173 |
|
1,526 |
1,457 |
$2.50 |
| 3078F |
|
612 |
592 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
893 |
853 |
$0.00 |
| 80061 |
Lipid panel |
16 |
16 |
$0.00 |
| 96160 |
|
392 |
391 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$0.00 |
| 81003 |
|
47 |
46 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
100 |
99 |
$0.00 |
| 3074F |
|
596 |
576 |
$0.00 |
| 87070 |
|
177 |
171 |
$0.00 |
| 3008F |
|
4,635 |
4,477 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
259 |
241 |
$0.00 |
| 1220F |
|
441 |
424 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
222 |
213 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
57 |
57 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
82 |
80 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
31 |
31 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
63 |
62 |
$0.00 |
| 86580 |
|
14 |
12 |
$0.00 |