| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,905 |
8,629 |
$118K |
| 90670 |
|
1,193 |
1,193 |
$51K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
2,754 |
2,753 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,748 |
5,709 |
$33K |
| 90656 |
|
2,368 |
2,366 |
$21K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,129 |
3,128 |
$14K |
| 97802 |
|
4,528 |
4,490 |
$13K |
| 92587 |
|
3,199 |
3,198 |
$12K |
| 90655 |
|
1,050 |
1,049 |
$11K |
| 90723 |
|
708 |
708 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,925 |
1,925 |
$4K |
| 90633 |
|
964 |
964 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,615 |
1,498 |
$3K |
| 90716 |
|
432 |
428 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,263 |
1,248 |
$3K |
| 90707 |
|
450 |
447 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
2,665 |
2,483 |
$3K |
| 83655 |
|
1,463 |
1,459 |
$2K |
| 90647 |
|
469 |
469 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
770 |
767 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,110 |
1,110 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,680 |
3,669 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,425 |
2,424 |
$880.00 |
| 87071 |
|
926 |
908 |
$825.96 |
| 90734 |
|
166 |
166 |
$765.00 |
| 99495 |
|
38 |
37 |
$749.86 |
| 99051 |
|
720 |
700 |
$448.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,162 |
2,014 |
$216.00 |
| 99381 |
|
37 |
37 |
$162.83 |
| 99401 |
|
3,214 |
3,187 |
$90.00 |
| 99173 |
|
1,646 |
1,645 |
$45.22 |
| 3008F |
|
13,577 |
11,653 |
$0.08 |
| 3016F |
|
2,201 |
2,049 |
$0.00 |
| 90681 |
|
209 |
209 |
$0.00 |
| 3725F |
|
2,201 |
2,049 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
136 |
136 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| G9821 |
No documentation of a chlamydia screening test with proper follow-up |
157 |
154 |
$0.00 |
| 90710 |
|
21 |
21 |
$0.00 |
| 90651 |
|
381 |
381 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,385 |
1,385 |
$0.00 |
| 1000F |
|
2,201 |
2,049 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
207 |
206 |
$0.00 |
| 90680 |
|
44 |
44 |
$0.00 |
| 90698 |
|
56 |
56 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 99383 |
|
24 |
24 |
$0.00 |