| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90651 |
|
1,606 |
1,604 |
$447K |
| 99215 |
Prolong outpt/office vis |
17,542 |
15,558 |
$350K |
| 99497 |
|
4,101 |
4,069 |
$308K |
| 90746 |
|
3,571 |
3,563 |
$282K |
| 90716 |
|
1,597 |
1,591 |
$274K |
| 90734 |
|
1,640 |
1,635 |
$255K |
| 90670 |
|
975 |
974 |
$238K |
| 90707 |
|
2,217 |
2,204 |
$223K |
| 90750 |
|
1,197 |
1,197 |
$209K |
| 99205 |
Prolong outpt/office vis |
2,617 |
2,612 |
$153K |
| 90620 |
|
683 |
680 |
$139K |
| 90632 |
|
1,727 |
1,724 |
$131K |
| 90671 |
|
364 |
364 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,678 |
3,318 |
$74K |
| 99385 |
|
1,052 |
1,048 |
$69K |
| G9920 |
Screening performed and negative |
1,892 |
1,874 |
$62K |
| 90679 |
|
179 |
173 |
$59K |
| H0049 |
Alcohol and/or drug screening |
2,744 |
2,717 |
$57K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,840 |
3,812 |
$55K |
| 90621 |
|
295 |
294 |
$50K |
| 90732 |
|
381 |
381 |
$49K |
| 90662 |
|
761 |
761 |
$48K |
| 90715 |
|
1,049 |
1,049 |
$46K |
| 90688 |
|
1,345 |
1,344 |
$35K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
917 |
913 |
$29K |
| 99386 |
|
505 |
502 |
$24K |
| 90686 |
|
1,022 |
1,019 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
784 |
782 |
$21K |
| 91320 |
|
229 |
221 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,721 |
2,559 |
$16K |
| 90756 |
|
356 |
342 |
$13K |
| 90480 |
|
496 |
481 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,221 |
4,972 |
$11K |
| 90682 |
|
164 |
164 |
$11K |
| 90656 |
|
347 |
346 |
$8K |
| 90674 |
|
198 |
198 |
$7K |
| 90694 |
|
278 |
275 |
$7K |
| 90736 |
|
28 |
28 |
$7K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
82 |
81 |
$7K |
| 91322 |
|
64 |
59 |
$6K |
| 90691 |
|
42 |
42 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,082 |
1,080 |
$6K |
| 90714 |
|
118 |
118 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
119 |
119 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
79 |
$2K |
| 90713 |
|
26 |
26 |
$1K |
| 92551 |
|
170 |
170 |
$1K |
| 88142 |
|
26 |
26 |
$531.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,006 |
3,261 |
$528.37 |
| 88141 |
|
39 |
39 |
$505.05 |
| G9919 |
Screening performed and positive and provision of recommendations |
14 |
14 |
$499.38 |
| 99397 |
|
24 |
24 |
$436.89 |
| 3014F |
|
14 |
14 |
$360.00 |
| 99406 |
|
28 |
28 |
$347.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
33 |
$330.24 |
| 93000 |
|
40 |
40 |
$317.97 |
| 3015F |
|
31 |
31 |
$300.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
36 |
36 |
$298.80 |
| 0124A |
|
13 |
13 |
$280.00 |
| 87450 |
|
36 |
36 |
$198.09 |
| 88150 |
|
13 |
13 |
$169.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$67.44 |
| G0008 |
Administration of influenza virus vaccine |
519 |
509 |
$50.82 |
| 82962 |
|
20 |
20 |
$49.20 |
| 85652 |
|
15 |
15 |
$44.40 |
| G0009 |
Administration of pneumococcal vaccine |
90 |
87 |
$29.78 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
159 |
120 |
$0.00 |
| 4004F |
|
156 |
156 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
163 |
163 |
$0.00 |
| 90653 |
|
23 |
23 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
16 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
256 |
254 |
$0.00 |
| 90474 |
|
209 |
209 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
13 |
13 |
$0.00 |
| 99429 |
|
453 |
447 |
$0.00 |