| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,738 |
1,721 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,407 |
1,935 |
$50K |
| 97803 |
|
2,653 |
2,618 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
426 |
398 |
$24K |
| 92551 |
|
1,790 |
1,770 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
403 |
331 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
234 |
$18K |
| 96151 |
|
870 |
857 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
294 |
250 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
869 |
762 |
$13K |
| G9920 |
Screening performed and negative |
912 |
897 |
$9K |
| 90658 |
|
530 |
518 |
$5K |
| 85018 |
|
814 |
787 |
$2K |
| 96150 |
|
58 |
55 |
$1K |
| 90686 |
|
115 |
115 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
379 |
375 |
$851.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
25 |
$785.47 |
| 90670 |
|
82 |
81 |
$720.00 |
| 90655 |
|
81 |
74 |
$648.00 |
| 99406 |
|
291 |
288 |
$501.72 |
| 90651 |
|
51 |
50 |
$432.00 |
| 87110 |
|
24 |
24 |
$427.96 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
33 |
31 |
$296.84 |
| 87070 |
|
36 |
36 |
$277.84 |
| 90680 |
|
27 |
27 |
$243.00 |
| 90633 |
|
25 |
24 |
$216.00 |
| 96127 |
|
336 |
331 |
$194.43 |
| 90698 |
|
17 |
17 |
$153.00 |
| 83655 |
|
12 |
12 |
$138.68 |
| 99173 |
|
1,252 |
1,240 |
$2.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
23 |
23 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |