| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,871 |
4,301 |
$378K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,534 |
2,340 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,235 |
3,170 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
629 |
626 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
614 |
610 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
520 |
517 |
$52K |
| 92552 |
|
1,515 |
1,505 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
380 |
375 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,139 |
1,050 |
$23K |
| 90461 |
|
520 |
517 |
$13K |
| 99401 |
|
2,020 |
1,998 |
$12K |
| 99051 |
|
2,816 |
2,596 |
$12K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,314 |
1,308 |
$11K |
| S9470 |
Nutritional counseling, dietitian visit |
1,316 |
1,310 |
$7K |
| 0001A |
|
123 |
123 |
$5K |
| 0002A |
|
122 |
122 |
$5K |
| 96127 |
|
828 |
824 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
608 |
605 |
$4K |
| 36410 |
|
533 |
525 |
$4K |
| 92551 |
|
245 |
245 |
$3K |
| 0004A |
|
74 |
74 |
$3K |
| 0012A |
|
69 |
69 |
$3K |
| 0011A |
|
68 |
68 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
157 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
989 |
980 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
147 |
136 |
$2K |
| 99173 |
|
1,412 |
1,397 |
$1K |
| 90686 |
|
1,148 |
1,144 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 0054A |
|
34 |
34 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
144 |
144 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,099 |
1,083 |
$1K |
| 86580 |
|
116 |
108 |
$862.62 |
| 36400 |
|
58 |
56 |
$854.03 |
| 0074A |
|
13 |
13 |
$520.00 |
| 90473 |
|
41 |
41 |
$491.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
40 |
$433.26 |
| 96160 |
|
653 |
648 |
$341.67 |
| 87270 |
|
19 |
19 |
$126.55 |
| 90651 |
|
152 |
147 |
$108.00 |
| 90672 |
|
69 |
69 |
$82.31 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
82 |
81 |
$54.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
89 |
89 |
$40.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
100 |
100 |
$35.00 |
| 3078F |
|
140 |
139 |
$7.50 |
| 3074F |
|
147 |
146 |
$7.50 |
| 90620 |
|
12 |
12 |
$0.01 |
| 3016F |
|
300 |
300 |
$0.00 |
| 90670 |
|
194 |
192 |
$0.00 |
| 90685 |
|
117 |
117 |
$0.00 |
| 3725F |
|
409 |
406 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 99072 |
|
206 |
201 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
30 |
30 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,555 |
1,533 |
$0.00 |
| 90744 |
|
266 |
263 |
$0.00 |
| 90680 |
|
28 |
27 |
$0.00 |
| 4293F |
|
29 |
29 |
$0.00 |
| 1036F |
|
299 |
299 |
$0.00 |
| 1000F |
|
337 |
337 |
$0.00 |
| 2000F |
|
135 |
134 |
$0.00 |
| 90698 |
|
100 |
98 |
$0.00 |
| 4037F |
|
18 |
18 |
$0.00 |