| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,031 |
10,099 |
$1.03M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,586 |
1,579 |
$172K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,334 |
1,330 |
$160K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,623 |
4,538 |
$129K |
| 92552 |
|
3,294 |
3,291 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
758 |
750 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
558 |
548 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,094 |
4,087 |
$35K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,905 |
2,905 |
$31K |
| 97802 |
|
3,293 |
3,290 |
$30K |
| H0049 |
Alcohol and/or drug screening |
1,345 |
1,345 |
$27K |
| 99051 |
|
3,983 |
3,873 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
407 |
393 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
808 |
799 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,861 |
1,858 |
$15K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,182 |
1,180 |
$11K |
| 92015 |
Determination of refractive state |
842 |
841 |
$7K |
| 92553 |
|
157 |
157 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
250 |
249 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
176 |
$5K |
| 99173 |
|
2,355 |
2,355 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$3K |
| 92587 |
|
113 |
113 |
$3K |
| 0072A |
|
50 |
50 |
$2K |
| 0071A |
|
41 |
41 |
$2K |
| 90686 |
|
1,531 |
1,528 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
523 |
523 |
$1K |
| 91307 |
|
90 |
82 |
$540.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
38 |
$518.99 |
| 90656 |
|
174 |
174 |
$467.52 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
48 |
48 |
$460.15 |
| 90461 |
|
29 |
28 |
$399.62 |
| 90715 |
|
116 |
116 |
$366.32 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
844 |
844 |
$361.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$260.12 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$253.41 |
| 86580 |
|
28 |
28 |
$201.00 |
| 90744 |
|
29 |
29 |
$29.28 |
| 90685 |
|
30 |
30 |
$21.81 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$6.68 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$3.39 |
| 3725F |
|
281 |
281 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 99072 |
|
221 |
215 |
$0.00 |
| 90672 |
|
22 |
22 |
$0.00 |
| 94664 |
|
13 |
13 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 3008F |
|
2,545 |
2,542 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |