| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,708 |
19,035 |
$221K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,427 |
7,236 |
$78K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
10,165 |
10,087 |
$65K |
| 99441 |
|
4,530 |
4,111 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,830 |
7,795 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,650 |
3,626 |
$16K |
| 90660 |
|
789 |
788 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,850 |
1,747 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
248 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,360 |
2,355 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
648 |
646 |
$8K |
| 99442 |
|
472 |
389 |
$8K |
| 99177 |
|
4,236 |
4,231 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
927 |
923 |
$5K |
| 90461 |
|
3,399 |
3,349 |
$5K |
| 90473 |
|
594 |
594 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
878 |
878 |
$3K |
| 85018 |
|
2,906 |
2,899 |
$3K |
| 92557 |
|
237 |
237 |
$3K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
292 |
291 |
$3K |
| 83655 |
|
222 |
220 |
$2K |
| 90474 |
|
554 |
552 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,006 |
1,004 |
$2K |
| 90677 |
|
255 |
254 |
$2K |
| 99401 |
|
2,344 |
2,259 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
8,044 |
7,787 |
$1K |
| 90670 |
|
755 |
750 |
$1K |
| H0049 |
Alcohol and/or drug screening |
955 |
955 |
$1K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
1,660 |
1,652 |
$1K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
58 |
58 |
$1K |
| 92551 |
|
2,129 |
2,129 |
$936.89 |
| 92550 |
|
404 |
388 |
$869.90 |
| 90655 |
|
99 |
99 |
$749.80 |
| A4245 |
Alcohol wipes, per box |
6,487 |
6,307 |
$684.48 |
| 90686 |
|
1,051 |
1,050 |
$612.15 |
| 97802 |
|
4,719 |
4,717 |
$526.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
68 |
$483.52 |
| 90671 |
|
317 |
317 |
$420.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$390.24 |
| 99402 |
|
161 |
157 |
$338.64 |
| 90656 |
|
165 |
165 |
$237.79 |
| 85013 |
|
52 |
52 |
$175.00 |
| 90697 |
|
220 |
220 |
$166.26 |
| 99173 |
|
623 |
622 |
$151.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
380 |
354 |
$144.23 |
| 99408 |
|
331 |
329 |
$140.00 |
| 36415 |
Collection of venous blood by venipuncture |
6,153 |
6,021 |
$138.54 |
| H0001 |
Alcohol and/or drug assessment |
134 |
134 |
$131.00 |
| 87081 |
|
187 |
186 |
$129.58 |
| 99383 |
|
12 |
12 |
$123.72 |
| 90633 |
|
830 |
827 |
$77.11 |
| 99050 |
|
96 |
91 |
$76.46 |
| 97803 |
|
699 |
695 |
$64.86 |
| 96127 |
|
1,171 |
1,169 |
$58.19 |
| 90723 |
|
64 |
64 |
$50.00 |
| 87802 |
|
69 |
69 |
$25.46 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
205 |
205 |
$21.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
9,211 |
9,168 |
$3.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
23 |
23 |
$1.16 |
| 1159F |
|
6,282 |
6,251 |
$0.00 |
| 90710 |
|
296 |
294 |
$0.00 |
| 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 |
550 |
549 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
8,041 |
7,796 |
$0.00 |
| 90648 |
|
200 |
200 |
$0.00 |
| 3085F |
|
660 |
659 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99001 |
|
1,709 |
1,670 |
$0.00 |
| 3016F |
|
660 |
659 |
$0.00 |
| 90734 |
|
53 |
53 |
$0.00 |
| 3725F |
|
857 |
856 |
$0.00 |
| 81002 |
|
95 |
95 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 96160 |
|
15 |
15 |
$0.00 |
| 90672 |
|
135 |
135 |
$0.00 |
| 99051 |
|
20 |
20 |
$0.00 |
| 90681 |
|
26 |
26 |
$0.00 |
| 3008F |
|
3,728 |
3,721 |
$0.00 |
| 90680 |
|
63 |
63 |
$0.00 |
| 36416 |
|
2,231 |
2,226 |
$0.00 |
| 1036F |
|
868 |
867 |
$0.00 |
| 1000F |
|
787 |
786 |
$0.00 |
| 1220F |
|
656 |
655 |
$0.00 |
| 90651 |
|
52 |
52 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90620 |
|
28 |
28 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |