| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,004 |
8,974 |
$34K |
| 90656 |
|
4,801 |
4,800 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,177 |
7,761 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,526 |
3,494 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,628 |
3,627 |
$13K |
| 92587 |
|
10,638 |
10,602 |
$11K |
| 90660 |
|
481 |
481 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,981 |
1,978 |
$4K |
| 99401 |
|
8,723 |
8,688 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
187 |
186 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,504 |
2,504 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
4,822 |
4,787 |
$2K |
| 90461 |
|
2,352 |
2,351 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,211 |
3,184 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,898 |
4,880 |
$875.57 |
| 90655 |
|
70 |
70 |
$855.34 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,344 |
3,311 |
$806.00 |
| 99173 |
|
5,321 |
5,288 |
$750.41 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
170 |
169 |
$387.81 |
| 36415 |
Collection of venous blood by venipuncture |
11,497 |
11,455 |
$382.67 |
| 97802 |
|
2,777 |
2,775 |
$341.97 |
| 90473 |
|
111 |
111 |
$326.23 |
| 90619 |
|
46 |
46 |
$320.00 |
| 90651 |
|
801 |
796 |
$250.00 |
| 90734 |
|
542 |
542 |
$150.00 |
| 90633 |
|
177 |
177 |
$48.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
73 |
$47.28 |
| 81025 |
|
35 |
35 |
$17.22 |
| 3008F |
|
12,804 |
12,368 |
$0.01 |
| 1000F |
|
3,475 |
3,441 |
$0.00 |
| 3074F |
|
958 |
925 |
$0.00 |
| 1036F |
|
3,388 |
3,355 |
$0.00 |
| 2010F |
|
173 |
171 |
$0.00 |
| 90647 |
|
53 |
53 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
41 |
41 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90680 |
|
40 |
40 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90670 |
|
276 |
274 |
$0.00 |
| 3016F |
|
3,413 |
3,378 |
$0.00 |
| 3725F |
|
3,389 |
3,356 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,404 |
3,371 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
168 |
168 |
$0.00 |
| 3078F |
|
87 |
86 |
$0.00 |
| 90621 |
|
46 |
46 |
$0.00 |
| 90715 |
|
65 |
65 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
202 |
196 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |