| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
19,745 |
15,596 |
$1.24M |
| G0008 |
Administration of influenza virus vaccine |
2,002 |
1,975 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
778 |
726 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,125 |
2,030 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
612 |
609 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
492 |
490 |
$28K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,742 |
927 |
$28K |
| 90832 |
Psychotherapy, 30 minutes with patient |
389 |
324 |
$26K |
| G0009 |
Administration of pneumococcal vaccine |
796 |
785 |
$19K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,299 |
616 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
384 |
350 |
$16K |
| 90686 |
|
1,791 |
1,769 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
257 |
238 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
153 |
143 |
$11K |
| 90670 |
|
629 |
623 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
302 |
261 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
294 |
274 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
295 |
274 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$6K |
| 90732 |
|
139 |
138 |
$6K |
| 80061 |
Lipid panel |
514 |
502 |
$4K |
| 90651 |
|
79 |
77 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
128 |
127 |
$2K |
| 97161 |
|
82 |
74 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
535 |
524 |
$1K |
| 80305 |
|
933 |
692 |
$1K |
| 80053 |
Comprehensive metabolic panel |
808 |
777 |
$1K |
| 97014 |
|
66 |
40 |
$1K |
| 96127 |
|
114 |
113 |
$901.71 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
16 |
12 |
$862.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
662 |
645 |
$707.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
510 |
495 |
$634.80 |
| D1206 |
Topical application of fluoride varnish |
50 |
50 |
$588.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
70 |
70 |
$560.86 |
| 98925 |
|
422 |
370 |
$537.50 |
| 36415 |
Collection of venous blood by venipuncture |
1,452 |
1,321 |
$396.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
283 |
257 |
$373.60 |
| 90662 |
|
112 |
108 |
$366.74 |
| 88142 |
|
61 |
60 |
$363.78 |
| 81025 |
|
337 |
321 |
$250.33 |
| 98926 |
|
303 |
278 |
$154.53 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
340 |
325 |
$147.00 |
| 85610 |
|
313 |
168 |
$136.22 |
| 86803 |
|
52 |
44 |
$104.42 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
28 |
26 |
$88.20 |
| 98927 |
|
31 |
28 |
$64.91 |
| 90715 |
|
563 |
533 |
$44.00 |
| 90744 |
|
219 |
217 |
$31.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$23.42 |
| 81002 |
|
561 |
533 |
$15.72 |
| 82043 |
|
26 |
25 |
$10.44 |
| 87070 |
|
46 |
45 |
$8.80 |
| 85027 |
|
18 |
14 |
$6.62 |
| 81001 |
|
14 |
13 |
$3.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
31 |
$0.00 |
| 83037 |
|
544 |
528 |
$0.00 |
| 90633 |
|
147 |
147 |
$0.00 |
| 90707 |
|
30 |
30 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
743 |
731 |
$0.00 |
| 90685 |
|
57 |
57 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
109 |
94 |
$0.00 |
| 90681 |
|
84 |
84 |
$0.00 |
| 36416 |
|
845 |
802 |
$0.00 |
| 90698 |
|
379 |
376 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
82 |
75 |
$0.00 |
| 90474 |
|
80 |
80 |
$0.00 |