| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
2,229 |
2,222 |
$147K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,539 |
2,290 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,000 |
2,736 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,608 |
1,390 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
746 |
714 |
$32K |
| 92551 |
|
2,338 |
2,248 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
548 |
530 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
273 |
270 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
855 |
774 |
$17K |
| G9920 |
Screening performed and negative |
970 |
968 |
$17K |
| 96151 |
|
680 |
675 |
$16K |
| 90686 |
|
874 |
873 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
434 |
211 |
$4K |
| 85018 |
|
1,208 |
1,203 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
77 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
450 |
449 |
$3K |
| 81002 |
|
916 |
911 |
$3K |
| D1206 |
Topical application of fluoride varnish |
144 |
144 |
$3K |
| 96127 |
|
458 |
456 |
$2K |
| 0072A |
|
30 |
30 |
$1K |
| 0071A |
|
29 |
29 |
$1K |
| 96150 |
|
42 |
42 |
$1K |
| 90674 |
|
84 |
83 |
$756.00 |
| 99173 |
|
76 |
75 |
$641.23 |
| 90670 |
|
62 |
62 |
$558.00 |
| 90633 |
|
62 |
61 |
$441.00 |
| 90648 |
|
40 |
40 |
$360.00 |
| 90734 |
|
27 |
27 |
$243.00 |
| 90620 |
|
13 |
13 |
$117.00 |
| 90651 |
|
13 |
13 |
$117.00 |
| 90680 |
|
12 |
12 |
$108.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$88.53 |
| 92552 |
|
85 |
85 |
$33.77 |