| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,679 |
6,918 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,130 |
3,808 |
$144K |
| 99401 |
|
8,800 |
7,840 |
$63K |
| 92587 |
|
2,714 |
2,678 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,921 |
1,877 |
$38K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,884 |
3,829 |
$32K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,509 |
3,414 |
$31K |
| 99188 |
|
3,385 |
3,329 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,163 |
1,151 |
$23K |
| 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 |
3,615 |
3,520 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,425 |
1,392 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,797 |
4,523 |
$16K |
| 97802 |
|
3,412 |
3,322 |
$15K |
| 83655 |
|
1,692 |
1,657 |
$13K |
| 36410 |
|
2,546 |
2,499 |
$10K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
409 |
404 |
$9K |
| 99173 |
|
2,080 |
2,056 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
278 |
261 |
$8K |
| 87110 |
|
336 |
332 |
$6K |
| 90670 |
|
1,089 |
1,083 |
$3K |
| 90461 |
|
1,887 |
1,863 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
256 |
254 |
$3K |
| 36406 |
|
805 |
782 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
169 |
$3K |
| 99406 |
|
214 |
209 |
$1K |
| 81002 |
|
2,424 |
2,374 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
381 |
376 |
$893.14 |
| 90686 |
|
815 |
813 |
$809.42 |
| 99429 |
|
161 |
151 |
$630.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,281 |
3,194 |
$620.00 |
| 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 |
385 |
380 |
$615.69 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
368 |
363 |
$415.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
44 |
$380.35 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
50 |
50 |
$336.76 |
| 90716 |
|
376 |
373 |
$336.00 |
| 99381 |
|
27 |
27 |
$264.70 |
| 90633 |
|
504 |
499 |
$264.00 |
| 90660 |
|
18 |
18 |
$187.68 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
342 |
338 |
$187.38 |
| 90707 |
|
345 |
342 |
$170.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$169.02 |
| 99408 |
|
396 |
392 |
$158.81 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
340 |
336 |
$156.19 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$136.21 |
| 96161 |
|
459 |
331 |
$119.53 |
| 90672 |
|
82 |
82 |
$112.92 |
| 90647 |
|
944 |
942 |
$75.00 |
| 99442 |
|
86 |
85 |
$74.40 |
| 90685 |
|
287 |
285 |
$63.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
50 |
$61.00 |
| 90700 |
|
311 |
311 |
$50.00 |
| 85018 |
|
12 |
12 |
$23.75 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
392 |
387 |
$0.00 |
| 99080 |
|
3,019 |
414 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
765 |
750 |
$0.00 |
| 3725F |
|
390 |
383 |
$0.00 |
| 3016F |
|
371 |
364 |
$0.00 |
| 90713 |
|
28 |
28 |
$0.00 |
| 90680 |
|
712 |
710 |
$0.00 |
| 3008F |
|
3,298 |
3,211 |
$0.00 |
| 90723 |
|
515 |
514 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
291 |
284 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
367 |
362 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,102 |
1,086 |
$0.00 |
| 1000F |
|
377 |
370 |
$0.00 |
| 1036F |
|
371 |
364 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
20 |
19 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |