| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,944 |
2,724 |
$268K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,157 |
1,119 |
$118K |
| 94010 |
|
2,773 |
2,635 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
489 |
483 |
$59K |
| 92552 |
|
2,354 |
2,261 |
$52K |
| 69210 |
|
2,020 |
1,922 |
$35K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
515 |
498 |
$33K |
| 86481 |
|
584 |
557 |
$29K |
| 41800 |
|
476 |
468 |
$23K |
| 94642 |
|
432 |
422 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,299 |
2,193 |
$18K |
| 31030 |
|
86 |
86 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,313 |
1,247 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
187 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
791 |
775 |
$9K |
| S9441 |
Asthma education, non-physician provider, per session |
1,090 |
1,045 |
$9K |
| H0033 |
Oral medication administration, direct observation |
252 |
237 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
122 |
$8K |
| 99188 |
|
535 |
514 |
$7K |
| 69200 |
|
196 |
192 |
$7K |
| 86480 |
|
343 |
320 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
465 |
443 |
$6K |
| 30210 |
|
146 |
146 |
$6K |
| S9470 |
Nutritional counseling, dietitian visit |
420 |
394 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
831 |
801 |
$5K |
| 99407 |
|
548 |
512 |
$5K |
| G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk |
60 |
56 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
388 |
370 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
342 |
326 |
$5K |
| 99402 |
|
382 |
359 |
$4K |
| 30901 |
|
54 |
54 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
491 |
467 |
$4K |
| 30903 |
|
22 |
22 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
70 |
$4K |
| 31000 |
|
86 |
84 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
81 |
79 |
$3K |
| 31020 |
|
19 |
19 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
98 |
92 |
$2K |
| 94664 |
|
158 |
146 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
28 |
$2K |
| 31256 |
|
14 |
14 |
$1K |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
27 |
27 |
$1K |
| 83655 |
|
143 |
134 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
158 |
158 |
$1K |
| 99383 |
|
15 |
15 |
$1K |
| 97802 |
|
171 |
166 |
$1K |
| 90662 |
|
120 |
115 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
46 |
45 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
55 |
$904.28 |
| 99195 |
|
13 |
12 |
$900.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
64 |
$843.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
57 |
56 |
$842.36 |
| 90660 |
|
53 |
53 |
$767.82 |
| 90473 |
|
55 |
55 |
$758.19 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
89 |
88 |
$690.84 |
| 92551 |
|
118 |
116 |
$689.99 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
12 |
12 |
$610.85 |
| 97113 |
|
35 |
34 |
$563.35 |
| 96127 |
|
155 |
154 |
$524.14 |
| 86580 |
|
73 |
69 |
$418.28 |
| 92557 |
|
16 |
16 |
$398.72 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
28 |
27 |
$345.00 |
| 99401 |
|
94 |
89 |
$343.08 |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
15 |
15 |
$287.71 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
62 |
61 |
$248.58 |
| 90686 |
|
113 |
111 |
$223.78 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
27 |
26 |
$208.26 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
24 |
24 |
$152.94 |
| 90658 |
|
47 |
46 |
$147.39 |
| 90474 |
|
14 |
14 |
$140.85 |
| 99051 |
|
23 |
22 |
$130.05 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
27 |
26 |
$122.31 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$109.20 |
| 90863 |
|
13 |
13 |
$105.66 |
| 99173 |
|
83 |
82 |
$75.24 |
| 99058 |
|
28 |
27 |
$53.45 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
81 |
80 |
$52.03 |
| 90672 |
|
23 |
23 |
$51.91 |
| 94660 |
|
20 |
19 |
$47.10 |
| T1018 |
School-based individualized education program (iep) services, bundled |
112 |
107 |
$38.51 |
| 90656 |
|
67 |
67 |
$31.64 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
38 |
38 |
$13.50 |
| S9117 |
Back school, per visit |
124 |
116 |
$10.00 |
| 94760 |
|
19 |
19 |
$2.24 |
| 3008F |
|
533 |
495 |
$0.57 |
| 1111F |
|
13 |
12 |
$0.02 |
| 1000F |
|
36 |
35 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
328 |
304 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
115 |
107 |
$0.00 |
| 1036F |
|
43 |
42 |
$0.00 |
| S9447 |
Infant safety (including cpr) classes, non-physician provider, per session |
53 |
50 |
$0.00 |
| 3725F |
|
86 |
85 |
$0.00 |
| 3016F |
|
16 |
16 |
$0.00 |