| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
6,317 |
6,306 |
$185K |
| 97802 |
|
3,827 |
3,821 |
$110K |
| 92551 |
|
5,545 |
5,513 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,803 |
7,098 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
789 |
771 |
$21K |
| 97803 |
|
714 |
713 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,641 |
2,613 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,134 |
2,119 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,960 |
1,813 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,036 |
1,766 |
$9K |
| G9920 |
Screening performed and negative |
6,248 |
6,228 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
678 |
676 |
$3K |
| 99383 |
|
233 |
231 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,823 |
1,755 |
$3K |
| 99381 |
|
51 |
50 |
$3K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
13 |
13 |
$3K |
| 99384 |
|
165 |
165 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
64 |
64 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
861 |
859 |
$2K |
| 99382 |
|
116 |
116 |
$2K |
| 99460 |
|
49 |
49 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
90 |
90 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
19 |
19 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
884 |
883 |
$1K |
| 93325 |
|
13 |
13 |
$1K |
| 93320 |
|
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$840.88 |
| 93000 |
|
15 |
15 |
$538.95 |
| 99000 |
|
1,323 |
1,317 |
$536.16 |
| 96160 |
|
124 |
121 |
$370.00 |
| 99173 |
|
744 |
736 |
$307.77 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$251.87 |
| 85018 |
|
1,450 |
1,438 |
$218.62 |
| 87492 |
|
63 |
63 |
$200.36 |
| 90670 |
|
243 |
237 |
$189.05 |
| 99401 |
|
514 |
510 |
$162.81 |
| H0049 |
Alcohol and/or drug screening |
826 |
824 |
$156.97 |
| H0001 |
Alcohol and/or drug assessment |
871 |
868 |
$140.00 |
| 99188 |
|
129 |
128 |
$78.46 |
| 96127 |
|
202 |
202 |
$57.12 |
| 83655 |
|
366 |
364 |
$40.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
735 |
677 |
$30.40 |
| 90686 |
|
274 |
272 |
$0.00 |
| 90647 |
|
127 |
127 |
$0.00 |
| 94760 |
|
24 |
20 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 87430 |
|
14 |
14 |
$0.00 |
| 86580 |
|
13 |
13 |
$0.00 |
| 90688 |
|
20 |
20 |
$0.00 |
| 90700 |
|
232 |
223 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90633 |
|
197 |
188 |
$0.00 |
| 81003 |
|
14 |
14 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90713 |
|
105 |
98 |
$0.00 |
| 86703 |
|
36 |
36 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |