| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92587 |
|
7,435 |
7,423 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,318 |
7,805 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,074 |
7,028 |
$73K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,984 |
2,974 |
$55K |
| 92567 |
|
6,641 |
6,634 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,528 |
2,523 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,464 |
5,334 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,463 |
2,457 |
$21K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
936 |
932 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,564 |
2,556 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,526 |
1,509 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
928 |
885 |
$14K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
751 |
750 |
$12K |
| 99401 |
|
5,947 |
5,911 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
610 |
604 |
$9K |
| 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 |
5,101 |
5,089 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
977 |
940 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,168 |
2,981 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
834 |
834 |
$6K |
| 85018 |
|
3,230 |
3,224 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
551 |
549 |
$3K |
| 0071A |
|
81 |
81 |
$3K |
| 97802 |
|
7,131 |
7,123 |
$2K |
| 86580 |
|
282 |
281 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
4,339 |
4,338 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| 0001A |
|
39 |
39 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
3,243 |
3,243 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,930 |
2,923 |
$1K |
| 0002A |
|
41 |
41 |
$1K |
| 0011A |
|
63 |
60 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,051 |
1,024 |
$1K |
| 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 |
404 |
403 |
$780.00 |
| 90686 |
|
3,095 |
3,092 |
$745.44 |
| 0124A |
|
17 |
17 |
$680.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,054 |
5,006 |
$654.29 |
| G0008 |
Administration of influenza virus vaccine |
369 |
369 |
$522.00 |
| 99441 |
|
50 |
46 |
$446.71 |
| 0053A |
|
18 |
18 |
$446.41 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,457 |
3,453 |
$446.35 |
| 90480 |
|
12 |
12 |
$408.24 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
60 |
60 |
$330.00 |
| 0154A |
|
13 |
13 |
$320.00 |
| 99383 |
|
64 |
64 |
$310.65 |
| 99442 |
|
17 |
16 |
$292.48 |
| 99406 |
|
37 |
37 |
$273.60 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,857 |
1,845 |
$218.13 |
| 90633 |
|
410 |
410 |
$197.12 |
| 99173 |
|
6,066 |
6,063 |
$193.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
69 |
$173.98 |
| G0009 |
Administration of pneumococcal vaccine |
157 |
157 |
$132.30 |
| 81003 |
|
71 |
71 |
$130.25 |
| 99201 |
|
63 |
63 |
$108.02 |
| G8482 |
Influenza immunization administered or previously received |
3,902 |
3,872 |
$82.00 |
| 90620 |
|
506 |
503 |
$50.00 |
| 36416 |
|
2,922 |
2,916 |
$46.00 |
| 90670 |
|
539 |
538 |
$35.70 |
| 99000 |
|
2,933 |
2,889 |
$28.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,302 |
1,301 |
$26.50 |
| 90672 |
|
72 |
72 |
$22.85 |
| 90656 |
|
322 |
318 |
$19.77 |
| 90734 |
|
429 |
429 |
$17.85 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,462 |
3,458 |
$13.00 |
| G9416 |
Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays |
55 |
55 |
$13.00 |
| G9414 |
Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays |
546 |
546 |
$13.00 |
| 4293F |
|
2,375 |
2,371 |
$12.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
137 |
137 |
$6.50 |
| 3008F |
|
7,820 |
7,696 |
$5.03 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
238 |
234 |
$3.25 |
| 91307 |
|
78 |
71 |
$0.61 |
| 90651 |
|
631 |
631 |
$0.00 |
| 1036F |
|
2,394 |
2,390 |
$0.00 |
| 1000F |
|
2,392 |
2,388 |
$0.00 |
| 90647 |
|
112 |
112 |
$0.00 |
| 90680 |
|
128 |
128 |
$0.00 |
| 90674 |
|
26 |
26 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 91315 |
|
40 |
40 |
$0.00 |
| 86769 |
|
26 |
26 |
$0.00 |
| 99384 |
|
16 |
16 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 3725F |
|
2,499 |
2,485 |
$0.00 |
| 3016F |
|
2,387 |
2,383 |
$0.00 |
| 99080 |
|
1,724 |
166 |
$0.00 |
| 91300 |
|
235 |
227 |
$0.00 |
| 90715 |
|
40 |
40 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
87 |
87 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
26 |
$0.00 |
| 90655 |
|
31 |
31 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |