| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
2,893 |
2,845 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,617 |
2,925 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,375 |
2,777 |
$79K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
665 |
665 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
563 |
550 |
$40K |
| G9920 |
Screening performed and negative |
2,051 |
2,020 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
374 |
372 |
$34K |
| 90686 |
|
1,127 |
1,125 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
205 |
$13K |
| 96151 |
|
446 |
440 |
$9K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,911 |
1,887 |
$5K |
| 99407 |
|
1,862 |
1,837 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,588 |
1,573 |
$4K |
| 99215 |
Prolong outpt/office vis |
31 |
27 |
$2K |
| 99406 |
|
132 |
131 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 90651 |
|
56 |
52 |
$1K |
| 97802 |
|
38 |
37 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$537.13 |
| H0049 |
Alcohol and/or drug screening |
17 |
17 |
$401.44 |
| 99497 |
|
14 |
14 |
$381.16 |
| 90656 |
|
18 |
18 |
$375.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
37 |
$309.75 |
| 90619 |
|
24 |
24 |
$198.00 |
| 3050F |
|
95 |
91 |
$166.47 |
| 90734 |
|
13 |
13 |
$108.00 |
| 3078F |
|
1,034 |
1,024 |
$0.00 |
| 99173 |
|
258 |
256 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 3074F |
|
1,105 |
1,096 |
$0.00 |
| 3079F |
|
138 |
132 |
$0.00 |
| 3049F |
|
45 |
45 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 3048F |
|
33 |
33 |
$0.00 |
| 3075F |
|
30 |
30 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |