| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18,818 |
17,752 |
$668K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,752 |
19,172 |
$365K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,926 |
5,778 |
$304K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,465 |
7,365 |
$211K |
| 99381 |
|
1,769 |
1,714 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,159 |
4,142 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,127 |
3,429 |
$79K |
| 92551 |
|
8,636 |
8,616 |
$55K |
| 99460 |
|
505 |
493 |
$37K |
| 90700 |
|
6,129 |
6,051 |
$36K |
| 90713 |
|
5,006 |
4,945 |
$30K |
| 90648 |
|
4,975 |
4,846 |
$30K |
| 90670 |
|
4,188 |
4,132 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
257 |
253 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
853 |
849 |
$21K |
| 90686 |
|
3,977 |
3,896 |
$21K |
| 90680 |
|
3,072 |
3,029 |
$20K |
| 90744 |
|
3,196 |
3,157 |
$19K |
| 86580 |
|
4,767 |
4,744 |
$14K |
| 90633 |
|
2,050 |
2,017 |
$10K |
| 90716 |
|
1,743 |
1,724 |
$8K |
| 99173 |
|
6,716 |
6,695 |
$8K |
| 90707 |
|
1,706 |
1,689 |
$7K |
| 90677 |
|
658 |
654 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
614 |
563 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
118 |
117 |
$5K |
| 99188 |
|
1,255 |
1,225 |
$4K |
| 99462 |
|
179 |
118 |
$4K |
| 0071A |
|
97 |
72 |
$3K |
| 90480 |
|
110 |
78 |
$3K |
| 90655 |
|
647 |
633 |
$3K |
| 0072A |
|
62 |
57 |
$2K |
| 90656 |
|
681 |
666 |
$2K |
| 90651 |
|
250 |
247 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
214 |
213 |
$1K |
| 96127 |
|
1,517 |
1,497 |
$973.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,089 |
1,068 |
$721.29 |
| 99384 |
|
14 |
14 |
$464.27 |
| 90734 |
|
112 |
112 |
$426.00 |
| H0049 |
Alcohol and/or drug screening |
145 |
145 |
$333.00 |
| 90715 |
|
46 |
46 |
$225.00 |
| 91318 |
|
43 |
31 |
$207.00 |
| 90461 |
|
741 |
633 |
$112.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
395 |
391 |
$82.41 |
| 99401 |
|
903 |
898 |
$77.12 |
| 91307 |
|
34 |
29 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$0.00 |
| 97802 |
|
17 |
17 |
$0.00 |
| 85032 |
|
13 |
13 |
$0.00 |
| 81001 |
|
13 |
13 |
$0.00 |