| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,561 |
19,273 |
$1.29M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,908 |
5,823 |
$447K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,240 |
5,087 |
$398K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,747 |
11,444 |
$376K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,175 |
4,140 |
$341K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,465 |
3,225 |
$294K |
| 92552 |
|
9,842 |
9,746 |
$186K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,651 |
2,522 |
$182K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
11,151 |
10,963 |
$147K |
| 90461 |
|
2,380 |
2,344 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,475 |
12,084 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
696 |
683 |
$58K |
| 99205 |
Prolong outpt/office vis |
307 |
305 |
$38K |
| 90671 |
|
294 |
294 |
$38K |
| 97803 |
|
9,523 |
8,535 |
$20K |
| 90670 |
|
1,257 |
1,247 |
$12K |
| 86580 |
|
2,587 |
2,526 |
$12K |
| 96127 |
|
4,492 |
4,431 |
$11K |
| 90651 |
|
830 |
828 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
756 |
733 |
$11K |
| 83655 |
|
927 |
922 |
$7K |
| 99381 |
|
87 |
86 |
$6K |
| 99383 |
|
73 |
73 |
$6K |
| 90620 |
|
250 |
250 |
$6K |
| 0071A |
|
152 |
152 |
$5K |
| 0072A |
|
140 |
139 |
$5K |
| 93000 |
|
320 |
320 |
$5K |
| 99382 |
|
60 |
58 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
921 |
481 |
$4K |
| 87110 |
|
625 |
622 |
$4K |
| 90619 |
|
724 |
724 |
$4K |
| 90686 |
|
2,445 |
2,433 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
3,457 |
3,413 |
$4K |
| 99173 |
|
7,550 |
7,511 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$2K |
| 90621 |
|
62 |
62 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,058 |
1,057 |
$2K |
| 90672 |
|
189 |
187 |
$2K |
| 90716 |
|
1,047 |
1,044 |
$2K |
| 90734 |
|
286 |
286 |
$2K |
| 90633 |
|
1,049 |
1,046 |
$1K |
| 82465 |
|
1,042 |
1,029 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
213 |
209 |
$1K |
| 80053 |
Comprehensive metabolic panel |
505 |
503 |
$1K |
| 99384 |
|
14 |
13 |
$928.23 |
| 0001A |
|
23 |
23 |
$915.37 |
| 0002A |
|
22 |
22 |
$890.42 |
| 90715 |
|
304 |
303 |
$876.73 |
| 90707 |
|
923 |
920 |
$760.00 |
| 90473 |
|
75 |
75 |
$720.09 |
| 90744 |
|
899 |
894 |
$684.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
37 |
$646.13 |
| 97802 |
|
7,452 |
7,249 |
$588.97 |
| 0004A |
|
16 |
16 |
$572.32 |
| 90688 |
|
116 |
115 |
$493.78 |
| 0124A |
|
13 |
13 |
$466.66 |
| 95012 |
|
30 |
30 |
$392.72 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,610 |
4,550 |
$299.86 |
| 99177 |
|
420 |
418 |
$266.25 |
| 90700 |
|
131 |
131 |
$200.00 |
| 90698 |
|
1,227 |
1,219 |
$184.37 |
| 90687 |
|
54 |
54 |
$181.60 |
| 90648 |
|
55 |
55 |
$125.00 |
| 90680 |
|
673 |
669 |
$124.04 |
| 80061 |
Lipid panel |
61 |
61 |
$119.14 |
| 90656 |
|
93 |
93 |
$116.47 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,470 |
4,392 |
$88.56 |
| 3044F |
|
1,474 |
1,462 |
$60.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
47 |
47 |
$48.12 |
| 87081 |
|
13 |
13 |
$20.46 |
| 92558 |
|
28 |
27 |
$20.00 |
| 91307 |
|
272 |
237 |
$1.49 |
| 91300 |
|
78 |
72 |
$0.45 |
| 3008F |
|
11,734 |
11,288 |
$0.02 |
| 3016F |
|
3,329 |
3,286 |
$0.01 |
| 1000F |
|
3,328 |
3,286 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,909 |
5,695 |
$0.00 |
| 3725F |
|
3,353 |
3,308 |
$0.00 |
| 99080 |
|
23 |
23 |
$0.00 |
| 90713 |
|
29 |
28 |
$0.00 |
| 99072 |
|
72 |
65 |
$0.00 |
| 99000 |
|
953 |
917 |
$0.00 |
| 1036F |
|
3,342 |
3,300 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,502 |
7,233 |
$0.00 |
| 90696 |
|
214 |
213 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
200 |
196 |
$0.00 |