| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,584 |
7,501 |
$120K |
| 92587 |
|
4,397 |
4,391 |
$57K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
843 |
841 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,790 |
2,658 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,804 |
1,802 |
$14K |
| 99401 |
|
6,882 |
6,872 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,512 |
1,512 |
$13K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
637 |
634 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,711 |
3,667 |
$9K |
| 90480 |
|
214 |
213 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,014 |
1,014 |
$6K |
| 92552 |
|
1,128 |
1,127 |
$6K |
| 99173 |
|
2,970 |
2,963 |
$5K |
| 90686 |
|
3,534 |
3,526 |
$5K |
| 0072A |
|
115 |
115 |
$4K |
| 0071A |
|
105 |
105 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
289 |
289 |
$3K |
| H0049 |
Alcohol and/or drug screening |
2,276 |
2,276 |
$3K |
| D1206 |
Topical application of fluoride varnish |
115 |
115 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,462 |
2,162 |
$2K |
| 90656 |
|
427 |
427 |
$2K |
| 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 |
2,413 |
2,413 |
$1K |
| 90691 |
|
18 |
18 |
$1K |
| 94760 |
|
10,180 |
9,782 |
$1K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
346 |
344 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
76 |
$879.48 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
243 |
240 |
$787.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
70 |
$706.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,982 |
1,981 |
$677.25 |
| 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 |
5,891 |
5,888 |
$633.31 |
| 91307 |
|
166 |
162 |
$610.18 |
| 99442 |
|
14 |
14 |
$491.28 |
| 36415 |
Collection of venous blood by venipuncture |
2,676 |
2,629 |
$483.25 |
| 96127 |
|
2,129 |
2,129 |
$401.72 |
| 99188 |
|
116 |
116 |
$377.00 |
| 0001A |
|
12 |
12 |
$353.52 |
| 96160 |
|
1,820 |
1,820 |
$234.35 |
| H0001 |
Alcohol and/or drug assessment |
587 |
587 |
$208.91 |
| A4614 |
Peak expiratory flow rate meter, hand held |
74 |
74 |
$173.16 |
| 99429 |
|
1,629 |
1,625 |
$172.50 |
| 3074F |
|
115 |
115 |
$115.00 |
| 3078F |
|
115 |
115 |
$115.00 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
1,228 |
1,227 |
$87.17 |
| 90461 |
|
193 |
192 |
$45.15 |
| 36406 |
|
76 |
74 |
$34.56 |
| 96161 |
|
192 |
189 |
$28.27 |
| 99408 |
|
723 |
723 |
$28.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$23.43 |
| 91300 |
|
57 |
54 |
$0.10 |
| 3008F |
|
5,628 |
5,559 |
$0.00 |
| 1000F |
|
1,887 |
1,886 |
$0.00 |
| 1036F |
|
1,854 |
1,853 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
3,192 |
3,187 |
$0.00 |
| 4293F |
|
1,887 |
1,886 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,954 |
1,954 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
816 |
814 |
$0.00 |
| 90651 |
|
125 |
125 |
$0.00 |
| 90688 |
|
181 |
181 |
$0.00 |
| 91319 |
|
24 |
24 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
527 |
527 |
$0.00 |
| 90680 |
|
69 |
69 |
$0.00 |
| 99000 |
|
78 |
78 |
$0.00 |
| 91318 |
|
12 |
12 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 90670 |
|
169 |
169 |
$0.00 |
| 97803 |
|
591 |
591 |
$0.00 |
| 3016F |
|
300 |
300 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,978 |
1,978 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,530 |
10,901 |
$0.00 |
| 3725F |
|
1,883 |
1,882 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
716 |
713 |
$0.00 |
| 99072 |
|
1,688 |
1,629 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
317 |
316 |
$0.00 |
| 90734 |
|
95 |
95 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
95 |
95 |
$0.00 |
| 91320 |
|
52 |
52 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
48 |
48 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90687 |
|
20 |
20 |
$0.00 |
| 90633 |
|
51 |
51 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |