| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
66,038 |
59,796 |
$501K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29,937 |
29,624 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,180 |
38,206 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,533 |
17,635 |
$110K |
| 92587 |
|
6,350 |
6,316 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,744 |
10,731 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,562 |
8,532 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,448 |
7,437 |
$46K |
| 87110 |
|
6,749 |
6,689 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,302 |
5,235 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,243 |
3,240 |
$27K |
| D1206 |
Topical application of fluoride varnish |
769 |
769 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,814 |
7,693 |
$20K |
| 0071A |
|
425 |
422 |
$16K |
| 0072A |
|
354 |
353 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,512 |
1,508 |
$11K |
| 0001A |
|
357 |
340 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20,909 |
19,658 |
$9K |
| 92081 |
|
4,152 |
4,130 |
$8K |
| 92551 |
|
4,254 |
4,242 |
$7K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
24,985 |
24,931 |
$6K |
| 97802 |
|
54,372 |
50,078 |
$5K |
| 99173 |
|
11,163 |
11,110 |
$4K |
| 0002A |
|
169 |
169 |
$4K |
| 92552 |
|
6,844 |
6,832 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
16,985 |
16,027 |
$3K |
| 90461 |
|
5,754 |
5,731 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
402 |
400 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,614 |
1,607 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
941 |
931 |
$3K |
| 96127 |
|
25,408 |
23,882 |
$2K |
| 83655 |
|
325 |
325 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
9,376 |
9,228 |
$2K |
| 90686 |
|
7,089 |
7,064 |
$2K |
| 99441 |
|
219 |
213 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
83 |
83 |
$1K |
| 90670 |
|
2,337 |
2,332 |
$1K |
| 36406 |
|
541 |
536 |
$1K |
| 99401 |
|
622 |
601 |
$935.00 |
| 86328 |
|
512 |
504 |
$917.58 |
| 92560 |
|
4,049 |
4,020 |
$806.52 |
| 90688 |
|
821 |
815 |
$499.52 |
| 90648 |
|
1,045 |
1,043 |
$464.10 |
| 90723 |
|
1,004 |
1,004 |
$464.10 |
| 90633 |
|
1,665 |
1,659 |
$458.56 |
| 90680 |
|
1,094 |
1,091 |
$446.25 |
| 90698 |
|
1,138 |
1,135 |
$410.55 |
| 96161 |
|
2,157 |
2,097 |
$394.27 |
| 99381 |
|
13 |
13 |
$394.24 |
| 90710 |
|
1,429 |
1,422 |
$374.85 |
| 96160 |
|
1,186 |
1,121 |
$340.70 |
| 90685 |
|
247 |
247 |
$271.81 |
| 90620 |
|
949 |
944 |
$244.09 |
| 90672 |
|
2,444 |
2,438 |
$241.93 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
15,188 |
14,124 |
$231.25 |
| 81005 |
|
128 |
123 |
$205.08 |
| 90651 |
|
720 |
719 |
$160.65 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,363 |
1,340 |
$133.25 |
| 90734 |
|
1,086 |
1,084 |
$107.10 |
| 86413 |
|
153 |
153 |
$100.75 |
| 99072 |
|
5,679 |
5,231 |
$46.00 |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
467 |
459 |
$45.00 |
| 99188 |
|
241 |
240 |
$44.72 |
| 91307 |
|
512 |
477 |
$38.05 |
| 90674 |
|
686 |
686 |
$32.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$16.00 |
| 99429 |
|
1,555 |
1,503 |
$10.25 |
| 3078F |
|
6,045 |
5,807 |
$5.00 |
| 3074F |
|
6,044 |
5,809 |
$5.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,205 |
1,112 |
$2.05 |
| S9452 |
Nutrition classes, non-physician provider, per session |
858 |
811 |
$2.05 |
| G9275 |
Documentation that patient is a current non-tobacco user |
13,528 |
12,851 |
$1.75 |
| S9449 |
Weight management classes, non-physician provider, per session |
763 |
717 |
$1.70 |
| 90715 |
|
467 |
467 |
$1.01 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
147 |
147 |
$0.20 |
| G9416 |
Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays |
208 |
208 |
$0.20 |
| 90671 |
|
329 |
327 |
$0.06 |
| 3008F |
|
56,046 |
48,819 |
$0.02 |
| 3016F |
|
11,924 |
11,104 |
$0.00 |
| 3725F |
|
17,640 |
16,456 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,273 |
4,885 |
$0.00 |
| 1160F |
|
360 |
340 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
165 |
164 |
$0.00 |
| 3210F |
|
186 |
185 |
$0.00 |
| 99499 |
|
63 |
63 |
$0.00 |
| 90649 |
|
358 |
357 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 91300 |
|
388 |
356 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
471 |
441 |
$0.00 |
| G9414 |
Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays |
134 |
134 |
$0.00 |
| 1159F |
|
285 |
270 |
$0.00 |
| S9443 |
Lactation classes, non-physician provider, per session |
33 |
31 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
41,708 |
36,997 |
$0.00 |
| 1036F |
|
10,832 |
10,311 |
$0.00 |
| 1000F |
|
10,413 |
9,898 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,724 |
2,640 |
$0.00 |
| 4293F |
|
3,136 |
3,042 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
10,855 |
10,141 |
$0.00 |
| 94760 |
|
603 |
583 |
$0.00 |
| 90696 |
|
342 |
340 |
$0.00 |
| 99000 |
|
684 |
675 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| 87071 |
|
28 |
28 |
$0.00 |
| 87081 |
|
13 |
13 |
$0.00 |