| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,919 |
20,581 |
$1.42M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,075 |
12,947 |
$398K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,059 |
5,037 |
$347K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,896 |
4,875 |
$296K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,195 |
4,166 |
$271K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,000 |
3,690 |
$238K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14,278 |
14,025 |
$214K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
2,364 |
2,361 |
$211K |
| 90461 |
|
3,793 |
3,701 |
$98K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,703 |
1,699 |
$89K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
817 |
808 |
$57K |
| S9451 |
Exercise classes, non-physician provider, per session |
8,256 |
8,238 |
$54K |
| 90671 |
|
380 |
380 |
$47K |
| 90697 |
|
419 |
419 |
$40K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
1,258 |
1,250 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
473 |
465 |
$33K |
| 90658 |
|
3,309 |
3,285 |
$30K |
| 90619 |
|
406 |
405 |
$20K |
| 90621 |
|
1,276 |
1,268 |
$18K |
| 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 |
1,325 |
1,318 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,088 |
2,055 |
$15K |
| 90651 |
|
1,525 |
1,524 |
$15K |
| 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 |
7,984 |
7,908 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,164 |
663 |
$11K |
| 0071A |
|
242 |
240 |
$9K |
| 96127 |
|
3,851 |
3,829 |
$8K |
| 90655 |
|
744 |
737 |
$7K |
| 0072A |
|
184 |
184 |
$7K |
| 81002 |
|
3,912 |
3,884 |
$7K |
| 90670 |
|
1,484 |
1,478 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
68 |
68 |
$3K |
| 99460 |
|
57 |
56 |
$3K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,440 |
1,428 |
$3K |
| 0001A |
|
53 |
53 |
$2K |
| 0003A |
|
49 |
49 |
$2K |
| 99442 |
|
47 |
41 |
$2K |
| 90620 |
|
59 |
59 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,301 |
1,289 |
$1K |
| 0002A |
|
27 |
27 |
$1K |
| 97804 |
|
154 |
154 |
$980.72 |
| 0124A |
|
26 |
26 |
$876.71 |
| 0073A |
|
20 |
20 |
$720.00 |
| 90734 |
|
827 |
824 |
$718.56 |
| 90680 |
|
1,279 |
1,274 |
$476.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$446.95 |
| 90633 |
|
1,365 |
1,359 |
$445.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$431.37 |
| 90715 |
|
453 |
452 |
$414.97 |
| 97802 |
|
60 |
60 |
$290.84 |
| 90744 |
|
167 |
167 |
$83.04 |
| 90647 |
|
518 |
517 |
$66.48 |
| 91300 |
|
165 |
145 |
$0.07 |
| 91307 |
|
360 |
320 |
$0.05 |
| 90698 |
|
348 |
348 |
$0.00 |
| 90723 |
|
140 |
140 |
$0.00 |
| 90696 |
|
63 |
63 |
$0.00 |
| 90710 |
|
813 |
811 |
$0.00 |
| 99080 |
|
451 |
166 |
$0.00 |
| 90700 |
|
73 |
73 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |