| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
5,004 |
4,961 |
$164K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,446 |
2,411 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,139 |
12,306 |
$60K |
| 92552 |
|
4,176 |
4,175 |
$48K |
| 97802 |
|
3,721 |
3,676 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,017 |
2,008 |
$26K |
| 99381 |
|
306 |
306 |
$15K |
| 90671 |
|
812 |
807 |
$6K |
| 90698 |
|
1,750 |
1,728 |
$6K |
| 90670 |
|
1,410 |
1,394 |
$5K |
| 90744 |
|
1,142 |
1,131 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,812 |
1,802 |
$4K |
| 90651 |
|
377 |
377 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,949 |
2,941 |
$4K |
| 90681 |
|
753 |
751 |
$3K |
| 90686 |
|
1,100 |
1,097 |
$3K |
| G9920 |
Screening performed and negative |
6,059 |
6,044 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,110 |
2,110 |
$2K |
| 90674 |
|
310 |
310 |
$2K |
| 90672 |
|
503 |
503 |
$2K |
| 90633 |
|
1,107 |
1,102 |
$2K |
| 90716 |
|
870 |
868 |
$2K |
| 99383 |
|
551 |
543 |
$2K |
| 90707 |
|
854 |
851 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,668 |
1,639 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,001 |
998 |
$796.46 |
| 90734 |
|
166 |
166 |
$709.65 |
| 99382 |
|
158 |
158 |
$473.30 |
| 90648 |
|
232 |
231 |
$464.55 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,085 |
1,073 |
$349.47 |
| 90700 |
|
187 |
187 |
$326.91 |
| 99384 |
|
198 |
196 |
$278.36 |
| 90620 |
|
58 |
58 |
$216.00 |
| 99173 |
|
1,643 |
1,643 |
$215.14 |
| 90696 |
|
93 |
93 |
$170.91 |
| 90680 |
|
49 |
49 |
$170.46 |
| 92551 |
|
56 |
56 |
$143.26 |
| 90619 |
|
60 |
60 |
$95.91 |
| 90715 |
|
41 |
41 |
$92.91 |
| 83655 |
|
1,149 |
1,145 |
$82.67 |
| 90723 |
|
36 |
36 |
$71.73 |
| 90461 |
|
675 |
666 |
$66.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$40.50 |
| 90656 |
|
12 |
12 |
$18.00 |
| 90661 |
|
74 |
74 |
$17.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,367 |
1,354 |
$17.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,186 |
1,174 |
$0.00 |
| 1036F |
|
1,659 |
1,648 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
409 |
409 |
$0.00 |
| 3008F |
|
5,963 |
5,919 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 96161 |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
96 |
96 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
56 |
$0.00 |