| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,378 |
17,236 |
$364K |
| 92587 |
|
13,981 |
13,970 |
$268K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13,537 |
13,525 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,720 |
13,084 |
$155K |
| 92557 |
|
4,132 |
4,132 |
$135K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,880 |
5,876 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,143 |
6,140 |
$89K |
| 86580 |
|
9,690 |
9,651 |
$70K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
3,627 |
3,626 |
$69K |
| 99442 |
|
4,018 |
3,595 |
$68K |
| D1206 |
Topical application of fluoride varnish |
2,321 |
2,301 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,597 |
4,592 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,545 |
2,512 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,003 |
21,698 |
$32K |
| 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 |
14,745 |
14,734 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
731 |
726 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,786 |
1,786 |
$24K |
| 99173 |
|
14,772 |
14,763 |
$24K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,329 |
1,326 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,459 |
1,437 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,132 |
2,080 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
25,883 |
25,508 |
$14K |
| 99401 |
|
3,332 |
3,313 |
$13K |
| 90670 |
|
2,027 |
2,023 |
$12K |
| 90461 |
|
4,488 |
4,423 |
$11K |
| 97802 |
|
17,046 |
17,034 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,101 |
7,095 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
451 |
450 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
8,298 |
8,292 |
$8K |
| 81002 |
|
18,772 |
18,640 |
$6K |
| 90686 |
|
6,854 |
6,845 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
541 |
539 |
$6K |
| S9451 |
Exercise classes, non-physician provider, per session |
13,436 |
13,419 |
$5K |
| 90651 |
|
1,782 |
1,781 |
$5K |
| 90734 |
|
1,665 |
1,661 |
$5K |
| 90620 |
|
1,031 |
1,031 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
7,949 |
7,920 |
$3K |
| 0072A |
|
89 |
89 |
$3K |
| 90633 |
|
1,911 |
1,907 |
$3K |
| 0071A |
|
81 |
81 |
$3K |
| 90680 |
|
1,282 |
1,278 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
176 |
170 |
$3K |
| 90716 |
|
329 |
328 |
$2K |
| 91307 |
|
188 |
185 |
$2K |
| 99000 |
|
23,503 |
23,149 |
$2K |
| 90647 |
|
1,126 |
1,124 |
$2K |
| 90710 |
|
335 |
335 |
$1K |
| 99383 |
|
69 |
69 |
$1K |
| 99384 |
|
48 |
48 |
$976.59 |
| 99215 |
Prolong outpt/office vis |
174 |
170 |
$924.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
99 |
$826.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
199 |
196 |
$793.31 |
| 90685 |
|
1,053 |
1,050 |
$767.65 |
| 90723 |
|
455 |
454 |
$721.90 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
7,353 |
7,350 |
$665.00 |
| 99205 |
Prolong outpt/office vis |
71 |
71 |
$654.12 |
| 90715 |
|
709 |
709 |
$388.67 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
2,140 |
2,138 |
$325.00 |
| 99441 |
|
16 |
15 |
$248.95 |
| 90707 |
|
67 |
66 |
$214.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$192.42 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
153 |
148 |
$122.97 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
20,804 |
20,704 |
$78.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
141 |
137 |
$75.98 |
| 3008F |
|
19,454 |
19,225 |
$56.26 |
| A4930 |
Gloves, sterile, per pair |
8,202 |
8,170 |
$44.58 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
129 |
125 |
$31.73 |
| 90700 |
|
52 |
52 |
$30.00 |
| 90696 |
|
174 |
174 |
$25.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
7,316 |
7,285 |
$22.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
8,409 |
8,403 |
$20.00 |
| 90698 |
|
89 |
89 |
$15.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,607 |
4,603 |
$10.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
2,351 |
2,350 |
$10.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
171 |
171 |
$4.00 |
| 3725F |
|
5,515 |
5,512 |
$0.00 |
| 3016F |
|
5,377 |
5,374 |
$0.00 |
| 90671 |
|
213 |
213 |
$0.00 |
| 4004F |
|
162 |
162 |
$0.00 |
| 91300 |
|
16 |
16 |
$0.00 |
| 1036F |
|
5,513 |
5,510 |
$0.00 |
| 2001F |
|
2,642 |
2,640 |
$0.00 |
| 1000F |
|
6,151 |
6,143 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,045 |
5,043 |
$0.00 |
| 2010F |
|
2,647 |
2,645 |
$0.00 |
| 90697 |
|
99 |
99 |
$0.00 |
| 2000F |
|
2,710 |
2,708 |
$0.00 |
| 85018 |
|
32 |
32 |
$0.00 |
| 90619 |
|
256 |
256 |
$0.00 |
| 99058 |
|
202 |
179 |
$0.00 |