| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,326 |
6,545 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,380 |
4,262 |
$145K |
| 92587 |
|
4,856 |
4,830 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,818 |
1,806 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,992 |
2,873 |
$67K |
| 99401 |
|
4,878 |
4,787 |
$63K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,309 |
3,295 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,351 |
1,316 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,262 |
1,255 |
$49K |
| 97802 |
|
5,054 |
4,996 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,082 |
1,075 |
$46K |
| 92557 |
|
2,978 |
2,968 |
$38K |
| 99443 |
|
1,529 |
1,456 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
755 |
658 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
517 |
500 |
$14K |
| 92567 |
|
1,023 |
1,022 |
$8K |
| H0001 |
Alcohol and/or drug assessment |
1,275 |
1,269 |
$7K |
| 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 |
3,118 |
3,104 |
$6K |
| 90649 |
|
103 |
103 |
$5K |
| 83655 |
|
373 |
373 |
$4K |
| 85018 |
|
2,725 |
2,718 |
$4K |
| 0071A |
|
99 |
99 |
$4K |
| 94760 |
|
2,751 |
2,642 |
$4K |
| 96112 |
|
136 |
131 |
$3K |
| 99406 |
|
347 |
346 |
$3K |
| 0072A |
|
69 |
69 |
$3K |
| 0012A |
|
65 |
65 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
125 |
124 |
$2K |
| 94664 |
|
340 |
335 |
$2K |
| 0011A |
|
64 |
64 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
153 |
$2K |
| 90473 |
|
202 |
202 |
$2K |
| 36410 |
|
319 |
312 |
$2K |
| 36416 |
|
2,141 |
2,135 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
327 |
321 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
83 |
$2K |
| 99409 |
|
196 |
195 |
$2K |
| 99442 |
|
555 |
533 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,325 |
1,316 |
$1K |
| 90686 |
|
1,558 |
1,550 |
$1K |
| 0002A |
|
22 |
21 |
$825.52 |
| 90672 |
|
270 |
268 |
$728.67 |
| 99408 |
|
291 |
287 |
$584.99 |
| 0001A |
|
18 |
18 |
$582.98 |
| 99001 |
|
536 |
532 |
$387.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
30 |
$386.51 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$372.32 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$271.74 |
| 99173 |
|
1,630 |
1,627 |
$192.09 |
| 90734 |
|
117 |
116 |
$160.00 |
| 90655 |
|
13 |
12 |
$158.95 |
| 91307 |
|
131 |
128 |
$112.09 |
| 96161 |
|
143 |
142 |
$68.78 |
| 90685 |
|
43 |
42 |
$48.83 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
18 |
17 |
$26.16 |
| 90674 |
|
55 |
55 |
$20.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
28 |
28 |
$10.00 |
| 90633 |
|
127 |
127 |
$10.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
29 |
29 |
$3.50 |
| 91301 |
|
78 |
77 |
$0.08 |
| G9275 |
Documentation that patient is a current non-tobacco user |
830 |
824 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
777 |
772 |
$0.00 |
| 3008F |
|
2,673 |
2,664 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
392 |
392 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,705 |
2,688 |
$0.00 |
| 1036F |
|
141 |
139 |
$0.00 |
| 1000F |
|
432 |
429 |
$0.00 |
| 90680 |
|
127 |
127 |
$0.00 |
| 90647 |
|
73 |
73 |
$0.00 |
| 90620 |
|
19 |
19 |
$0.00 |
| 90723 |
|
60 |
60 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 3725F |
|
828 |
822 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
224 |
224 |
$0.00 |
| 3016F |
|
795 |
789 |
$0.00 |
| 99080 |
|
2,864 |
287 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
528 |
525 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
462 |
459 |
$0.00 |
| 90670 |
|
258 |
258 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| 91300 |
|
29 |
29 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |