| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
3,380 |
3,368 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,214 |
6,701 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,614 |
2,463 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,628 |
2,580 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,366 |
1,347 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,629 |
1,613 |
$76K |
| 96150 |
|
1,294 |
1,215 |
$29K |
| 92552 |
|
997 |
997 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
232 |
232 |
$14K |
| 90670 |
|
1,412 |
1,393 |
$13K |
| 90647 |
|
1,274 |
1,257 |
$12K |
| 90686 |
|
1,361 |
1,361 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
136 |
$10K |
| 90723 |
|
993 |
977 |
$9K |
| 90680 |
|
1,012 |
998 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,098 |
1,077 |
$8K |
| 90651 |
|
720 |
718 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
320 |
$6K |
| 81000 |
|
2,072 |
2,036 |
$6K |
| 90685 |
|
575 |
574 |
$5K |
| 85018 |
|
2,695 |
2,689 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
283 |
$4K |
| 90700 |
|
540 |
534 |
$4K |
| 90633 |
|
549 |
546 |
$4K |
| 97803 |
|
145 |
143 |
$2K |
| 90619 |
|
150 |
150 |
$2K |
| 90697 |
|
156 |
156 |
$2K |
| 90734 |
|
207 |
207 |
$2K |
| 99173 |
|
917 |
909 |
$1K |
| 90648 |
|
173 |
171 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
70 |
70 |
$957.18 |
| 96151 |
|
44 |
43 |
$886.54 |
| 90715 |
|
62 |
62 |
$796.59 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
205 |
202 |
$701.25 |
| 85999 |
|
213 |
213 |
$632.10 |
| 90671 |
|
221 |
221 |
$547.66 |
| 81002 |
|
869 |
867 |
$434.55 |
| 90716 |
|
55 |
55 |
$396.00 |
| 90707 |
|
53 |
53 |
$387.00 |
| 90710 |
|
27 |
27 |
$243.00 |
| 90713 |
|
26 |
26 |
$234.00 |
| 90649 |
|
15 |
15 |
$135.00 |
| 90658 |
|
14 |
14 |
$126.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$97.75 |
| 1000F |
|
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
647 |
415 |
$0.00 |
| 90461 |
|
152 |
63 |
$0.00 |