| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,899 |
10,311 |
$1.39M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,330 |
2,100 |
$237K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,339 |
5,129 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,478 |
1,475 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
874 |
815 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
711 |
710 |
$86K |
| 90461 |
|
1,585 |
1,575 |
$56K |
| 90671 |
|
305 |
305 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
422 |
422 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,999 |
2,939 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
369 |
356 |
$23K |
| 99401 |
|
1,410 |
1,196 |
$22K |
| 92551 |
|
1,573 |
1,573 |
$18K |
| 99051 |
|
2,979 |
2,774 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
122 |
$15K |
| 99188 |
|
1,030 |
1,030 |
$13K |
| 99383 |
|
103 |
103 |
$13K |
| 90474 |
|
675 |
675 |
$9K |
| 99382 |
|
43 |
43 |
$5K |
| 99384 |
|
37 |
37 |
$5K |
| 97802 |
|
1,841 |
1,833 |
$4K |
| 90381 |
|
14 |
14 |
$4K |
| 90697 |
|
38 |
38 |
$3K |
| 96160 |
|
177 |
177 |
$3K |
| 99381 |
|
26 |
26 |
$3K |
| H0049 |
Alcohol and/or drug screening |
136 |
136 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 90473 |
|
177 |
177 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,543 |
1,518 |
$2K |
| 97803 |
|
347 |
347 |
$2K |
| 99442 |
|
21 |
19 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
180 |
180 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
864 |
860 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
68 |
$1K |
| 99173 |
|
1,298 |
1,298 |
$868.63 |
| 94664 |
|
47 |
47 |
$833.93 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
232 |
232 |
$833.67 |
| 0072A |
|
18 |
18 |
$720.00 |
| 36406 |
|
155 |
153 |
$602.14 |
| 99050 |
|
123 |
108 |
$522.53 |
| 0071A |
|
13 |
13 |
$520.00 |
| A4927 |
Gloves, non-sterile, per 100 |
232 |
216 |
$360.34 |
| 96380 |
|
14 |
14 |
$323.40 |
| 90670 |
|
675 |
675 |
$241.38 |
| 90686 |
|
1,240 |
1,236 |
$196.19 |
| 90744 |
|
747 |
746 |
$177.45 |
| 83655 |
|
17 |
17 |
$174.40 |
| 90672 |
|
202 |
202 |
$112.05 |
| 96127 |
|
204 |
204 |
$93.81 |
| 99000 |
|
186 |
183 |
$24.16 |
| A4930 |
Gloves, sterile, per pair |
101 |
88 |
$9.60 |
| A4245 |
Alcohol wipes, per box |
21 |
21 |
$5.56 |
| 3074F |
|
21 |
21 |
$2.50 |
| 3078F |
|
21 |
21 |
$2.50 |
| G9275 |
Documentation that patient is a current non-tobacco user |
20 |
20 |
$0.20 |
| 91307 |
|
40 |
35 |
$0.03 |
| 90680 |
|
198 |
198 |
$0.00 |
| 90698 |
|
663 |
663 |
$0.00 |
| 3008F |
|
1,674 |
1,587 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
327 |
277 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 1000F |
|
20 |
20 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
67 |
57 |
$0.00 |
| 1036F |
|
24 |
24 |
$0.00 |
| 90633 |
|
288 |
287 |
$0.00 |
| 90681 |
|
111 |
111 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 3725F |
|
155 |
155 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
52 |
49 |
$0.00 |
| 90648 |
|
52 |
52 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |