| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
9,110 |
9,093 |
$99K |
| 99188 |
|
1,532 |
1,532 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,745 |
19,490 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,859 |
4,798 |
$9K |
| 90671 |
|
768 |
766 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
282 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,152 |
4,116 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,776 |
1,763 |
$2K |
| 99381 |
|
92 |
91 |
$2K |
| G9920 |
Screening performed and negative |
11,789 |
11,758 |
$2K |
| 90670 |
|
1,546 |
1,534 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,113 |
5,058 |
$998.43 |
| 83655 |
|
4,795 |
4,786 |
$818.86 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,286 |
1,274 |
$790.45 |
| 90651 |
|
2,168 |
2,163 |
$706.92 |
| 90700 |
|
2,760 |
2,740 |
$696.96 |
| 90713 |
|
2,146 |
2,130 |
$598.77 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,489 |
4,395 |
$597.08 |
| 90744 |
|
1,007 |
1,002 |
$527.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,331 |
1,315 |
$506.67 |
| 90648 |
|
1,749 |
1,737 |
$473.94 |
| 90686 |
|
2,618 |
2,614 |
$449.30 |
| 99383 |
|
110 |
110 |
$434.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,808 |
4,742 |
$256.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,052 |
2,003 |
$246.24 |
| 90633 |
|
1,619 |
1,618 |
$213.93 |
| 90680 |
|
635 |
627 |
$206.46 |
| 85018 |
|
11,493 |
11,463 |
$175.87 |
| 90707 |
|
1,343 |
1,341 |
$142.74 |
| 90716 |
|
1,382 |
1,380 |
$142.74 |
| 90698 |
|
468 |
466 |
$134.01 |
| 99384 |
|
25 |
25 |
$130.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
192 |
123 |
$78.01 |
| 90710 |
|
232 |
232 |
$62.37 |
| 90619 |
|
734 |
734 |
$44.55 |
| 90681 |
|
91 |
90 |
$35.82 |
| 90734 |
|
1,074 |
1,072 |
$35.73 |
| 90715 |
|
788 |
787 |
$35.64 |
| 90621 |
|
502 |
502 |
$26.82 |
| 90661 |
|
117 |
117 |
$17.82 |
| 92552 |
|
774 |
770 |
$16.69 |
| 90688 |
|
271 |
268 |
$9.00 |
| 90620 |
|
588 |
588 |
$8.91 |
| 87186 |
|
93 |
88 |
$0.00 |
| 80061 |
Lipid panel |
395 |
390 |
$0.00 |
| 99173 |
|
865 |
859 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
118 |
118 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
49 |
49 |
$0.00 |
| 81003 |
|
218 |
216 |
$0.00 |
| 90685 |
|
71 |
69 |
$0.00 |
| 90658 |
|
31 |
31 |
$0.00 |
| 96160 |
|
1,590 |
1,588 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
52 |
52 |
$0.00 |
| 86677 |
|
21 |
20 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
39 |
39 |
$0.00 |
| 99382 |
|
14 |
14 |
$0.00 |
| 84436 |
|
368 |
365 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,699 |
4,592 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
307 |
305 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
906 |
890 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,107 |
1,107 |
$0.00 |
| 1036F |
|
4,289 |
4,271 |
$0.00 |
| 96161 |
|
2,358 |
2,349 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
762 |
745 |
$0.00 |
| 96150 |
|
396 |
390 |
$0.00 |
| 87081 |
|
169 |
167 |
$0.00 |
| 99406 |
|
171 |
169 |
$0.00 |
| 3351F |
|
283 |
281 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
450 |
442 |
$0.00 |
| 81001 |
|
530 |
515 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
406 |
403 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
984 |
955 |
$0.00 |
| 82150 |
|
21 |
20 |
$0.00 |
| 87077 |
|
15 |
14 |
$0.00 |
| 85652 |
|
23 |
22 |
$0.00 |
| 87088 |
|
25 |
23 |
$0.00 |
| 83690 |
|
21 |
20 |
$0.00 |
| 90697 |
|
37 |
37 |
$0.00 |