| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,782 |
7,462 |
$575K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,045 |
2,009 |
$170K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,958 |
4,599 |
$142K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,638 |
1,593 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,483 |
1,470 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,177 |
1,106 |
$111K |
| 92552 |
|
3,605 |
3,593 |
$102K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,538 |
5,411 |
$92K |
| 97803 |
|
3,341 |
3,244 |
$79K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,586 |
3,482 |
$36K |
| 90461 |
|
1,247 |
1,232 |
$36K |
| H0001 |
Alcohol and/or drug assessment |
1,579 |
1,521 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
118 |
$10K |
| 96127 |
|
1,753 |
1,725 |
$8K |
| 86580 |
|
1,009 |
1,005 |
$7K |
| 99173 |
|
1,365 |
1,362 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
725 |
722 |
$5K |
| 97802 |
|
1,558 |
1,529 |
$3K |
| 83655 |
|
320 |
319 |
$3K |
| 0071A |
|
48 |
48 |
$2K |
| 0072A |
|
31 |
31 |
$1K |
| 90619 |
|
37 |
36 |
$988.16 |
| 90672 |
|
74 |
74 |
$677.52 |
| 90686 |
|
869 |
855 |
$596.91 |
| 90620 |
|
13 |
13 |
$581.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
49 |
$579.50 |
| 95012 |
|
30 |
30 |
$511.28 |
| 99000 |
|
111 |
102 |
$503.40 |
| 99177 |
|
104 |
104 |
$352.33 |
| 90473 |
|
18 |
18 |
$197.37 |
| 93000 |
|
13 |
13 |
$154.57 |
| 92558 |
|
35 |
35 |
$151.40 |
| 90716 |
|
40 |
40 |
$113.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,351 |
1,300 |
$71.13 |
| A4617 |
Mouth piece |
13 |
13 |
$22.68 |
| 90688 |
|
16 |
16 |
$14.87 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,120 |
2,030 |
$0.01 |
| 3008F |
|
5,099 |
4,837 |
$0.01 |
| 1036F |
|
1,374 |
1,322 |
$0.00 |
| 1000F |
|
1,352 |
1,300 |
$0.00 |
| 3044F |
|
238 |
227 |
$0.00 |
| 90651 |
|
58 |
56 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 91307 |
|
32 |
32 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,477 |
1,412 |
$0.00 |
| 3016F |
|
1,374 |
1,322 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,033 |
999 |
$0.00 |
| 3725F |
|
1,377 |
1,324 |
$0.00 |
| 90670 |
|
161 |
160 |
$0.00 |
| 90633 |
|
57 |
57 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 82465 |
|
14 |
14 |
$0.00 |