| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,949 |
53,190 |
$359K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,568 |
7,436 |
$359K |
| 92551 |
|
27,872 |
27,821 |
$216K |
| 99381 |
|
2,385 |
2,332 |
$173K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,826 |
13,691 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,914 |
15,838 |
$137K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,272 |
19,094 |
$135K |
| 96156 |
|
20,762 |
20,701 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,716 |
9,677 |
$84K |
| 99188 |
|
9,169 |
9,106 |
$75K |
| 90651 |
|
4,126 |
4,098 |
$64K |
| 90686 |
|
10,054 |
9,995 |
$61K |
| 90670 |
|
5,829 |
5,809 |
$47K |
| 90698 |
|
5,900 |
5,875 |
$44K |
| G9920 |
Screening performed and negative |
19,927 |
19,668 |
$42K |
| 90744 |
|
5,278 |
5,252 |
$36K |
| G9919 |
Screening performed and positive and provision of recommendations |
15,874 |
15,709 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,462 |
6,206 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,099 |
6,013 |
$28K |
| 0001A |
|
898 |
691 |
$27K |
| 0002A |
|
862 |
664 |
$26K |
| 90734 |
|
2,209 |
2,197 |
$26K |
| 99460 |
|
569 |
560 |
$26K |
| 90621 |
|
426 |
424 |
$25K |
| 90620 |
|
2,233 |
2,230 |
$23K |
| 0071A |
|
562 |
547 |
$22K |
| 90680 |
|
2,099 |
2,093 |
$19K |
| 90633 |
|
4,186 |
4,167 |
$18K |
| 0072A |
|
480 |
447 |
$18K |
| 90681 |
|
2,249 |
2,233 |
$16K |
| 99462 |
|
611 |
522 |
$15K |
| 90715 |
|
1,941 |
1,932 |
$13K |
| 90671 |
|
1,534 |
1,529 |
$12K |
| 99383 |
|
304 |
297 |
$12K |
| 99173 |
|
23,638 |
23,545 |
$11K |
| 90710 |
|
1,723 |
1,719 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,023 |
2,022 |
$10K |
| 90716 |
|
2,290 |
2,280 |
$10K |
| 90696 |
|
2,129 |
2,120 |
$9K |
| 90707 |
|
2,229 |
2,220 |
$8K |
| 0004A |
|
199 |
188 |
$7K |
| 99384 |
|
200 |
193 |
$7K |
| 90619 |
|
1,350 |
1,349 |
$7K |
| 85018 |
|
10,188 |
9,979 |
$7K |
| 90648 |
|
1,443 |
1,421 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13,872 |
13,712 |
$5K |
| 90700 |
|
1,559 |
1,552 |
$5K |
| 90685 |
|
461 |
411 |
$4K |
| H0049 |
Alcohol and/or drug screening |
6,305 |
6,252 |
$4K |
| 97803 |
|
5,540 |
5,355 |
$3K |
| 81002 |
|
8,192 |
8,113 |
$3K |
| 90656 |
|
446 |
446 |
$2K |
| 99382 |
|
41 |
41 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,260 |
2,220 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,157 |
2,125 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,360 |
1,338 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
172 |
164 |
$1K |
| 83655 |
|
2,104 |
2,078 |
$793.48 |
| 90474 |
|
47 |
47 |
$747.08 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
74 |
$670.50 |
| 0124A |
|
15 |
15 |
$600.00 |
| 90688 |
|
288 |
274 |
$557.50 |
| 0154A |
|
13 |
13 |
$520.00 |
| 90473 |
|
107 |
105 |
$435.18 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
19 |
19 |
$316.20 |
| 96150 |
|
62 |
62 |
$285.60 |
| 90713 |
|
51 |
51 |
$278.52 |
| 90480 |
|
65 |
64 |
$214.00 |
| 90672 |
|
55 |
54 |
$212.74 |
| 96160 |
|
13,617 |
13,422 |
$150.00 |
| 90661 |
|
65 |
65 |
$120.00 |
| 90380 |
|
14 |
14 |
$117.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,492 |
3,439 |
$89.98 |
| 90649 |
|
71 |
71 |
$87.76 |
| 96127 |
|
339 |
335 |
$76.16 |
| 86580 |
|
44 |
44 |
$39.99 |
| G0008 |
Administration of influenza virus vaccine |
2,039 |
2,038 |
$6.34 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
102 |
95 |
$3.36 |
| G0010 |
Administration of hepatitis b vaccine |
285 |
284 |
$0.03 |
| 1036F |
|
12,187 |
12,056 |
$0.00 |
| 36416 |
|
790 |
786 |
$0.00 |
| 96161 |
|
4,078 |
4,041 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
514 |
511 |
$0.00 |
| 3074F |
|
182 |
182 |
$0.00 |
| 99495 |
|
102 |
102 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| 91307 |
|
49 |
48 |
$0.00 |
| 3079F |
|
46 |
46 |
$0.00 |
| 96151 |
|
1,040 |
1,038 |
$0.00 |
| 99496 |
|
16 |
16 |
$0.00 |
| 3078F |
|
127 |
127 |
$0.00 |
| 91300 |
|
423 |
371 |
$0.00 |