| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,612 |
15,226 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,286 |
5,235 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,186 |
11,033 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,188 |
4,176 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,940 |
3,929 |
$45K |
| 92587 |
|
5,124 |
5,093 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,925 |
1,914 |
$25K |
| 86580 |
|
4,269 |
4,252 |
$16K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,806 |
5,633 |
$16K |
| 92081 |
|
2,214 |
2,209 |
$14K |
| 92551 |
|
2,301 |
2,291 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
745 |
729 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
362 |
359 |
$11K |
| 0001A |
|
282 |
279 |
$11K |
| 0002A |
|
241 |
240 |
$10K |
| 86480 |
|
4,111 |
4,103 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
859 |
854 |
$7K |
| 81000 |
|
9,572 |
9,517 |
$7K |
| 0071A |
|
128 |
128 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
440 |
412 |
$5K |
| 90686 |
|
4,758 |
4,738 |
$5K |
| 0072A |
|
105 |
104 |
$4K |
| 83655 |
|
2,558 |
2,544 |
$4K |
| 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 |
6,121 |
5,816 |
$4K |
| 99442 |
|
663 |
644 |
$4K |
| 99441 |
|
123 |
114 |
$3K |
| 87081 |
|
1,233 |
1,215 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
6,646 |
6,447 |
$3K |
| 90715 |
|
991 |
988 |
$2K |
| 90651 |
|
1,473 |
1,468 |
$2K |
| 36406 |
|
912 |
873 |
$2K |
| 87810 |
|
3,386 |
3,375 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,933 |
2,840 |
$2K |
| 90734 |
|
985 |
982 |
$2K |
| 97802 |
|
10,059 |
9,594 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
294 |
290 |
$1K |
| 90649 |
|
202 |
202 |
$870.70 |
| 90621 |
|
224 |
224 |
$856.50 |
| 90744 |
|
683 |
676 |
$732.88 |
| 90633 |
|
1,040 |
1,033 |
$699.34 |
| 0052A |
|
16 |
16 |
$652.65 |
| 36415 |
Collection of venous blood by venipuncture |
13,762 |
13,064 |
$645.90 |
| 90620 |
|
58 |
58 |
$500.00 |
| 85018 |
|
2,946 |
2,935 |
$328.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
171 |
168 |
$305.90 |
| 94762 |
|
392 |
370 |
$291.99 |
| 90658 |
|
389 |
387 |
$282.32 |
| 90713 |
|
180 |
180 |
$272.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
45 |
$263.05 |
| 99173 |
|
3,689 |
3,672 |
$141.46 |
| 90733 |
|
316 |
316 |
$112.50 |
| 87070 |
|
807 |
797 |
$95.73 |
| 90685 |
|
419 |
416 |
$81.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$78.85 |
| 96160 |
|
2,642 |
2,515 |
$65.36 |
| 90670 |
|
1,033 |
1,030 |
$60.00 |
| 90716 |
|
26 |
24 |
$48.00 |
| 90461 |
|
791 |
789 |
$45.00 |
| 90647 |
|
296 |
296 |
$30.00 |
| 90657 |
|
82 |
82 |
$30.00 |
| 90672 |
|
20 |
20 |
$26.88 |
| 90680 |
|
499 |
499 |
$15.00 |
| 81002 |
|
249 |
248 |
$6.96 |
| 96127 |
|
1,426 |
1,422 |
$6.45 |
| S9451 |
Exercise classes, non-physician provider, per session |
4,618 |
4,526 |
$0.04 |
| 91307 |
|
48 |
47 |
$0.01 |
| 3008F |
|
3,814 |
3,801 |
$0.01 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
375 |
373 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,486 |
7,450 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
275 |
267 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,981 |
3,920 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
2,145 |
2,132 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
998 |
995 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,881 |
2,731 |
$0.00 |
| 99080 |
|
1,523 |
437 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
48 |
48 |
$0.00 |
| 90710 |
|
508 |
505 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
34 |
34 |
$0.00 |
| 3725F |
|
236 |
234 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$0.00 |
| 91300 |
|
306 |
277 |
$0.00 |
| 90700 |
|
54 |
54 |
$0.00 |
| 3016F |
|
221 |
219 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 94642 |
|
12 |
12 |
$0.00 |
| 4004F |
|
22 |
22 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
6,118 |
5,942 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,782 |
5,759 |
$0.00 |
| 90696 |
|
106 |
105 |
$0.00 |
| 2010F |
|
245 |
237 |
$0.00 |
| 90698 |
|
260 |
260 |
$0.00 |
| 1000F |
|
233 |
231 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
25 |
25 |
$0.00 |
| 2001F |
|
231 |
231 |
$0.00 |
| 99000 |
|
1,111 |
1,106 |
$0.00 |
| 1036F |
|
205 |
203 |
$0.00 |
| 2000F |
|
101 |
101 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
51 |
51 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |