| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,294 |
7,214 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,193 |
14,710 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,303 |
3,270 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,142 |
3,124 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,376 |
2,333 |
$26K |
| 97802 |
|
7,066 |
7,023 |
$12K |
| 0071A |
|
167 |
167 |
$7K |
| 0001A |
|
162 |
161 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,777 |
1,772 |
$6K |
| 0002A |
|
181 |
180 |
$6K |
| 0072A |
|
145 |
145 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
444 |
433 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
404 |
399 |
$4K |
| 90686 |
|
3,218 |
3,199 |
$3K |
| 90651 |
|
903 |
898 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
656 |
655 |
$3K |
| 90461 |
|
1,373 |
1,367 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
238 |
236 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
7,493 |
7,416 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
127 |
$1K |
| 0003A |
|
27 |
27 |
$1K |
| 90620 |
|
39 |
39 |
$907.08 |
| 90656 |
|
154 |
154 |
$746.69 |
| 91307 |
|
197 |
167 |
$560.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
50 |
$540.56 |
| 90671 |
|
16 |
16 |
$414.64 |
| 90633 |
|
480 |
477 |
$294.05 |
| 90670 |
|
252 |
252 |
$180.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$157.85 |
| 90715 |
|
51 |
51 |
$156.42 |
| 90734 |
|
171 |
171 |
$132.44 |
| 90685 |
|
198 |
196 |
$64.82 |
| 91305 |
|
16 |
12 |
$36.07 |
| H0001 |
Alcohol and/or drug assessment |
740 |
739 |
$19.33 |
| 85018 |
|
13 |
13 |
$15.90 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
14 |
$9.79 |
| 91300 |
|
245 |
221 |
$0.04 |
| 3008F |
|
4,033 |
3,966 |
$0.01 |
| 99000 |
|
36 |
36 |
$0.00 |
| 1000F |
|
527 |
526 |
$0.00 |
| 1220F |
|
843 |
833 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
18 |
18 |
$0.00 |
| 90619 |
|
176 |
175 |
$0.00 |
| 4293F |
|
537 |
535 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17 |
17 |
$0.00 |
| 3016F |
|
127 |
127 |
$0.00 |
| 3725F |
|
199 |
197 |
$0.00 |
| 99401 |
|
15 |
15 |
$0.00 |
| 90648 |
|
61 |
61 |
$0.00 |
| 4004F |
|
25 |
25 |
$0.00 |
| 90710 |
|
71 |
71 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
40 |
40 |
$0.00 |
| 3210F |
|
79 |
79 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
18 |
18 |
$0.00 |