| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,904 |
13,826 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,462 |
14,828 |
$107K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,189 |
5,185 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,104 |
5,101 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,157 |
8,894 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,702 |
3,694 |
$27K |
| 92551 |
|
14,834 |
14,823 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,459 |
1,440 |
$17K |
| 90461 |
|
4,023 |
4,011 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,911 |
1,909 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,649 |
2,639 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,829 |
1,815 |
$12K |
| 90670 |
|
1,535 |
1,532 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,581 |
6,578 |
$6K |
| 90686 |
|
4,994 |
4,981 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
21,086 |
20,444 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
460 |
453 |
$5K |
| 90734 |
|
1,190 |
1,187 |
$5K |
| 99173 |
|
12,423 |
12,409 |
$4K |
| 90620 |
|
1,571 |
1,569 |
$3K |
| 0072A |
|
97 |
97 |
$3K |
| 90473 |
|
234 |
234 |
$3K |
| 0071A |
|
93 |
93 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,831 |
1,796 |
$2K |
| 99384 |
|
87 |
87 |
$2K |
| 97802 |
|
6,816 |
6,802 |
$2K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
7,189 |
7,180 |
$2K |
| 99383 |
|
90 |
90 |
$2K |
| 90633 |
|
1,447 |
1,444 |
$2K |
| 99401 |
|
1,416 |
1,414 |
$2K |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
5,420 |
5,357 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
47 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
6,790 |
6,783 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
101 |
$1K |
| 86769 |
|
173 |
172 |
$880.00 |
| 3074F |
|
857 |
857 |
$875.50 |
| 3078F |
|
723 |
723 |
$738.00 |
| 90715 |
|
593 |
589 |
$617.96 |
| 90474 |
|
44 |
44 |
$516.31 |
| 90672 |
|
488 |
488 |
$327.66 |
| 90674 |
|
167 |
167 |
$250.00 |
| 90716 |
|
167 |
166 |
$240.00 |
| 90744 |
|
144 |
144 |
$236.02 |
| 90647 |
|
681 |
680 |
$225.00 |
| 90661 |
|
90 |
90 |
$223.04 |
| 87081 |
|
822 |
813 |
$192.44 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,417 |
7,298 |
$162.50 |
| 99382 |
|
28 |
28 |
$153.72 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,080 |
4,038 |
$131.08 |
| 83655 |
|
1,479 |
1,475 |
$122.70 |
| 90707 |
|
67 |
67 |
$120.00 |
| 90685 |
|
25 |
25 |
$64.21 |
| 99381 |
|
12 |
12 |
$56.22 |
| 90723 |
|
28 |
28 |
$50.00 |
| 90700 |
|
58 |
58 |
$25.00 |
| 90656 |
|
67 |
67 |
$23.53 |
| 86804 |
|
17 |
17 |
$12.39 |
| 81002 |
|
47 |
45 |
$8.34 |
| 94760 |
|
269 |
244 |
$5.51 |
| 91307 |
|
168 |
155 |
$0.68 |
| 3008F |
|
16,988 |
16,495 |
$0.13 |
| 90619 |
|
553 |
553 |
$0.00 |
| 1036F |
|
8,032 |
7,650 |
$0.00 |
| 90698 |
|
281 |
281 |
$0.00 |
| 90680 |
|
915 |
913 |
$0.00 |
| 90696 |
|
202 |
202 |
$0.00 |
| 90651 |
|
2,194 |
2,188 |
$0.00 |
| 1000F |
|
7,174 |
6,963 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
41 |
41 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
123 |
123 |
$0.00 |
| 3725F |
|
5,979 |
5,971 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,241 |
7,150 |
$0.00 |
| 3016F |
|
5,465 |
5,461 |
$0.00 |
| 90710 |
|
289 |
289 |
$0.00 |