| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,483 |
3,265 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,044 |
5,400 |
$190K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,280 |
4,251 |
$124K |
| 92587 |
|
4,293 |
4,249 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,373 |
1,366 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,159 |
1,159 |
$50K |
| 99493 |
|
356 |
347 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,026 |
973 |
$30K |
| 92588 |
|
974 |
963 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,256 |
1,223 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
565 |
564 |
$26K |
| 94010 |
|
774 |
763 |
$22K |
| 99188 |
|
1,398 |
1,396 |
$20K |
| 96127 |
|
5,501 |
5,428 |
$19K |
| H0001 |
Alcohol and/or drug assessment |
1,049 |
1,048 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
405 |
395 |
$16K |
| H0049 |
Alcohol and/or drug screening |
1,038 |
1,037 |
$15K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
996 |
993 |
$15K |
| 90461 |
|
595 |
595 |
$14K |
| 99429 |
|
2,323 |
2,270 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,414 |
4,026 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
323 |
316 |
$11K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
1,001 |
999 |
$9K |
| D1206 |
Topical application of fluoride varnish |
1,025 |
1,023 |
$5K |
| 83655 |
|
435 |
435 |
$4K |
| 85018 |
|
2,156 |
2,146 |
$4K |
| 97802 |
|
495 |
495 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
355 |
351 |
$4K |
| S9452 |
Nutrition classes, non-physician provider, per session |
436 |
436 |
$4K |
| 96160 |
|
4,656 |
4,572 |
$3K |
| 90686 |
|
1,919 |
1,909 |
$3K |
| 99173 |
|
1,919 |
1,912 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,678 |
1,604 |
$2K |
| 99072 |
|
537 |
511 |
$2K |
| 99000 |
|
4,625 |
4,353 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,195 |
1,168 |
$2K |
| 36416 |
|
2,199 |
2,188 |
$1K |
| 87400 |
|
494 |
436 |
$1K |
| 99401 |
|
158 |
156 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
443 |
443 |
$922.03 |
| S9441 |
Asthma education, non-physician provider, per session |
95 |
88 |
$823.44 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
99 |
98 |
$722.30 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$480.65 |
| 94150 |
|
391 |
387 |
$474.70 |
| 98960 |
|
84 |
79 |
$473.30 |
| 0012A |
|
13 |
13 |
$456.36 |
| 0011A |
|
19 |
19 |
$453.43 |
| H0034 |
Medication training and support, per 15 minutes |
81 |
76 |
$426.77 |
| 99051 |
|
328 |
314 |
$387.63 |
| 0072A |
|
13 |
13 |
$337.47 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
742 |
741 |
$297.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$229.10 |
| 90651 |
|
140 |
140 |
$197.38 |
| 94760 |
|
411 |
391 |
$194.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$182.40 |
| G9920 |
Screening performed and negative |
71 |
70 |
$87.00 |
| 90656 |
|
45 |
45 |
$81.09 |
| 91307 |
|
12 |
12 |
$70.00 |
| 90707 |
|
24 |
24 |
$62.08 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
14 |
12 |
$9.06 |
| 1126F |
|
362 |
335 |
$7.00 |
| 0521F |
|
159 |
154 |
$7.00 |
| 96161 |
|
25 |
25 |
$2.25 |
| 4293F |
|
1,004 |
1,003 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
286 |
276 |
$0.00 |
| 1000F |
|
742 |
742 |
$0.00 |
| 3008F |
|
4,940 |
4,674 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
2,995 |
2,884 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
683 |
683 |
$0.00 |
| 1125F |
|
76 |
74 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 3725F |
|
773 |
773 |
$0.00 |
| 90734 |
|
30 |
30 |
$0.00 |
| 90671 |
|
82 |
81 |
$0.00 |
| 3016F |
|
243 |
243 |
$0.00 |
| 90670 |
|
105 |
103 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
38 |
38 |
$0.00 |