| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,783 |
6,600 |
$93K |
| 92587 |
|
5,269 |
5,266 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,140 |
7,402 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,272 |
2,270 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,847 |
1,847 |
$14K |
| 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 |
5,437 |
5,436 |
$14K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,221 |
2,221 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,293 |
1,287 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,251 |
1,225 |
$9K |
| 0001A |
|
228 |
228 |
$8K |
| 0002A |
|
206 |
205 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,321 |
2,174 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
628 |
628 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
873 |
868 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
349 |
328 |
$4K |
| 99441 |
|
329 |
290 |
$4K |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
224 |
223 |
$3K |
| 90461 |
|
1,815 |
1,793 |
$3K |
| 97803 |
|
4,973 |
4,973 |
$3K |
| 99173 |
|
3,118 |
3,117 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
237 |
$2K |
| 99442 |
|
33 |
28 |
$1K |
| H0049 |
Alcohol and/or drug screening |
335 |
335 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
6,409 |
6,395 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$1K |
| 83655 |
|
144 |
137 |
$946.53 |
| 99408 |
|
1,898 |
1,897 |
$945.50 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
30 |
$944.02 |
| H0001 |
Alcohol and/or drug assessment |
1,816 |
1,816 |
$874.91 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
76 |
$860.37 |
| 87110 |
|
97 |
97 |
$736.10 |
| 87320 |
|
1,316 |
1,316 |
$651.11 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,581 |
1,581 |
$570.00 |
| 97802 |
|
290 |
290 |
$484.65 |
| 99406 |
|
335 |
334 |
$458.03 |
| 87490 |
|
405 |
405 |
$315.07 |
| 90651 |
|
395 |
392 |
$250.00 |
| 90656 |
|
1,177 |
1,176 |
$217.34 |
| 99383 |
|
16 |
16 |
$177.38 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,554 |
1,554 |
$170.18 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$120.45 |
| 90658 |
|
110 |
110 |
$99.35 |
| 87810 |
|
138 |
138 |
$47.76 |
| 3008F |
|
4,332 |
4,315 |
$30.01 |
| 90670 |
|
87 |
87 |
$30.00 |
| 90686 |
|
14 |
13 |
$22.54 |
| 3085F |
|
1,739 |
1,738 |
$20.00 |
| 1000F |
|
1,632 |
1,632 |
$20.00 |
| 4293F |
|
1,747 |
1,746 |
$20.00 |
| 90655 |
|
71 |
71 |
$0.00 |
| 90734 |
|
78 |
78 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90620 |
|
373 |
371 |
$0.00 |
| 90689 |
|
84 |
84 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
76 |
76 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |