| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,363 |
15,052 |
$501K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,543 |
11,048 |
$499K |
| 96156 |
|
6,824 |
6,809 |
$493K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,285 |
3,673 |
$269K |
| 97802 |
|
8,467 |
8,425 |
$235K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,470 |
3,469 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,963 |
3,951 |
$198K |
| G9920 |
Screening performed and negative |
7,300 |
7,245 |
$139K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,522 |
5,364 |
$134K |
| 92552 |
|
6,827 |
6,789 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,528 |
2,505 |
$108K |
| 96151 |
|
3,067 |
3,045 |
$81K |
| 96127 |
|
5,326 |
5,252 |
$69K |
| 97803 |
|
2,687 |
2,672 |
$65K |
| 90686 |
|
5,057 |
5,052 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
881 |
874 |
$38K |
| 85013 |
|
7,802 |
7,743 |
$27K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,771 |
1,768 |
$19K |
| 81000 |
|
3,477 |
3,315 |
$14K |
| 90651 |
|
1,086 |
1,083 |
$10K |
| 99173 |
|
623 |
618 |
$9K |
| 90670 |
|
990 |
979 |
$9K |
| 90734 |
|
601 |
600 |
$5K |
| 99406 |
|
421 |
421 |
$5K |
| 90698 |
|
555 |
546 |
$5K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
254 |
253 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
73 |
$5K |
| 90685 |
|
538 |
537 |
$4K |
| 99442 |
|
71 |
67 |
$4K |
| 90633 |
|
484 |
479 |
$4K |
| 99000 |
|
693 |
673 |
$3K |
| 90680 |
|
298 |
292 |
$3K |
| 90619 |
|
305 |
305 |
$2K |
| 83655 |
|
230 |
227 |
$2K |
| 90715 |
|
259 |
259 |
$2K |
| 86580 |
|
213 |
204 |
$1K |
| D1206 |
Topical application of fluoride varnish |
60 |
60 |
$1K |
| 90744 |
|
120 |
114 |
$1K |
| 90620 |
|
107 |
107 |
$963.00 |
| 90672 |
|
78 |
78 |
$816.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
71 |
$544.35 |
| 99188 |
|
27 |
27 |
$502.74 |
| 90656 |
|
53 |
53 |
$477.00 |
| 90710 |
|
53 |
53 |
$386.73 |
| 90696 |
|
52 |
52 |
$377.73 |
| 90671 |
|
30 |
30 |
$205.38 |
| 90700 |
|
12 |
12 |
$44.55 |
| 99402 |
|
39 |
38 |
$0.00 |
| 96160 |
|
224 |
223 |
$0.00 |