| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,752 |
5,839 |
$457K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
756 |
756 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
755 |
754 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
703 |
702 |
$49K |
| 92587 |
|
2,400 |
2,383 |
$45K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,797 |
1,794 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
373 |
366 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,614 |
1,592 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
946 |
933 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
739 |
735 |
$18K |
| 99441 |
|
440 |
427 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
195 |
195 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
171 |
$15K |
| 90461 |
|
265 |
263 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
266 |
265 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
306 |
300 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
47 |
47 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
228 |
226 |
$2K |
| 92568 |
|
171 |
166 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
21 |
$2K |
| 99401 |
|
193 |
185 |
$1K |
| H0049 |
Alcohol and/or drug screening |
172 |
172 |
$929.84 |
| 92567 |
|
170 |
166 |
$669.23 |
| 90677 |
|
12 |
12 |
$640.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
23 |
$442.52 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,064 |
1,063 |
$385.34 |
| 90686 |
|
647 |
646 |
$352.50 |
| H0033 |
Oral medication administration, direct observation |
48 |
47 |
$170.16 |
| 36415 |
Collection of venous blood by venipuncture |
2,350 |
2,344 |
$130.37 |
| 99051 |
|
51 |
50 |
$79.24 |
| 90633 |
|
24 |
24 |
$71.40 |
| 97802 |
|
468 |
467 |
$60.85 |
| 99406 |
|
612 |
612 |
$39.09 |
| 96127 |
|
60 |
58 |
$36.10 |
| S9451 |
Exercise classes, non-physician provider, per session |
69 |
69 |
$20.00 |
| 90670 |
|
82 |
82 |
$17.85 |
| 87430 |
|
76 |
75 |
$7.56 |
| 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 |
813 |
812 |
$5.60 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
889 |
888 |
$4.61 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
156 |
156 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 3008F |
|
440 |
440 |
$0.00 |
| 1220F |
|
144 |
144 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 90651 |
|
38 |
38 |
$0.00 |
| 1000F |
|
152 |
152 |
$0.00 |
| 90620 |
|
41 |
41 |
$0.00 |
| 90674 |
|
184 |
184 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
22 |
22 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| 3016F |
|
150 |
150 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |