| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92587 |
|
12,504 |
12,486 |
$229K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,912 |
13,846 |
$189K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,338 |
5,331 |
$142K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12,142 |
12,136 |
$141K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,260 |
7,243 |
$101K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
24,598 |
24,481 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,255 |
14,416 |
$49K |
| D1206 |
Topical application of fluoride varnish |
1,586 |
1,585 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,554 |
6,551 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,113 |
5,112 |
$19K |
| 0002A |
|
424 |
424 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,288 |
5,272 |
$17K |
| 99406 |
|
8,985 |
6,877 |
$15K |
| 0072A |
|
347 |
347 |
$13K |
| 90660 |
|
790 |
789 |
$13K |
| 0001A |
|
318 |
318 |
$12K |
| 0071A |
|
325 |
325 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,865 |
8,453 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,209 |
3,160 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,199 |
6,198 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,897 |
5,893 |
$7K |
| 0124A |
|
205 |
205 |
$7K |
| 90670 |
|
2,087 |
2,084 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,462 |
1,461 |
$6K |
| 86580 |
|
795 |
781 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
211 |
211 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
7,240 |
7,236 |
$5K |
| 99401 |
|
15,485 |
15,385 |
$4K |
| 0053A |
|
104 |
104 |
$4K |
| 91305 |
|
170 |
168 |
$3K |
| 0154A |
|
89 |
89 |
$3K |
| S9451 |
Exercise classes, non-physician provider, per session |
15,214 |
15,203 |
$3K |
| 99173 |
|
13,820 |
13,809 |
$3K |
| 91312 |
|
185 |
185 |
$2K |
| 90734 |
|
1,125 |
1,124 |
$2K |
| 90620 |
|
1,998 |
1,994 |
$2K |
| 91315 |
|
71 |
71 |
$2K |
| 36406 |
|
2,127 |
2,119 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
18,014 |
17,995 |
$1K |
| 90633 |
|
2,320 |
2,319 |
$987.00 |
| 90686 |
|
5,343 |
5,334 |
$949.48 |
| 99408 |
|
6,775 |
6,772 |
$892.66 |
| 0081A |
|
24 |
24 |
$840.00 |
| 90656 |
|
789 |
789 |
$754.14 |
| 90647 |
|
1,449 |
1,447 |
$730.00 |
| 90723 |
|
702 |
700 |
$700.00 |
| 91308 |
|
57 |
55 |
$540.27 |
| 90716 |
|
682 |
682 |
$414.00 |
| 90707 |
|
386 |
386 |
$340.00 |
| 90685 |
|
3,813 |
3,811 |
$308.56 |
| 90715 |
|
885 |
885 |
$293.58 |
| 83655 |
|
721 |
721 |
$235.95 |
| 90651 |
|
2,375 |
2,373 |
$200.00 |
| 90680 |
|
1,621 |
1,620 |
$165.00 |
| 90710 |
|
906 |
906 |
$150.00 |
| 90671 |
|
816 |
816 |
$150.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$130.62 |
| 90696 |
|
645 |
645 |
$105.00 |
| 97802 |
|
8,111 |
8,083 |
$104.00 |
| 91307 |
|
736 |
664 |
$93.76 |
| 99383 |
|
25 |
25 |
$91.72 |
| 90655 |
|
198 |
197 |
$51.00 |
| 94760 |
|
638 |
614 |
$11.52 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
46 |
46 |
$0.30 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
44 |
44 |
$0.29 |
| 91300 |
|
741 |
688 |
$0.04 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,517 |
3,515 |
$0.00 |
| 90681 |
|
260 |
260 |
$0.00 |
| 3725F |
|
4,957 |
4,955 |
$0.00 |
| 90672 |
|
679 |
678 |
$0.00 |
| 90700 |
|
411 |
411 |
$0.00 |
| 3016F |
|
32 |
32 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
45 |
$0.00 |
| 90661 |
|
27 |
27 |
$0.00 |
| 1000F |
|
5,015 |
5,013 |
$0.00 |
| 1036F |
|
4,586 |
4,584 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
9,309 |
9,301 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
6,212 |
6,208 |
$0.00 |
| 90697 |
|
905 |
905 |
$0.00 |
| 90619 |
|
639 |
639 |
$0.00 |
| 3008F |
|
841 |
841 |
$0.00 |
| 90698 |
|
100 |
100 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 99381 |
|
18 |
18 |
$0.00 |