| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,787 |
1,781 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,623 |
3,260 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,951 |
2,938 |
$21K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,578 |
1,577 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
145 |
140 |
$5K |
| 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 |
1,256 |
1,253 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
917 |
916 |
$3K |
| 86580 |
|
359 |
357 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,624 |
2,614 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
450 |
449 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
185 |
180 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
724 |
718 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
346 |
346 |
$2K |
| 99173 |
|
1,621 |
1,613 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
604 |
602 |
$1K |
| 97802 |
|
1,647 |
1,641 |
$1K |
| 90686 |
|
1,116 |
1,116 |
$1K |
| 92283 |
|
135 |
135 |
$1K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
598 |
598 |
$908.00 |
| 99408 |
|
534 |
534 |
$709.02 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
252 |
247 |
$607.11 |
| 90461 |
|
444 |
443 |
$487.79 |
| 83655 |
|
46 |
46 |
$457.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
524 |
524 |
$434.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
145 |
$433.20 |
| 0071A |
|
13 |
13 |
$391.22 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
70 |
70 |
$342.63 |
| H0001 |
Alcohol and/or drug assessment |
421 |
421 |
$324.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
14 |
14 |
$180.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$146.08 |
| 90656 |
|
137 |
137 |
$112.93 |
| 96160 |
|
22 |
22 |
$106.63 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
299 |
299 |
$56.50 |
| 3078F |
|
246 |
245 |
$50.00 |
| 3074F |
|
230 |
229 |
$37.50 |
| 94760 |
|
1,482 |
1,471 |
$26.03 |
| 96127 |
|
75 |
75 |
$11.32 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$5.00 |
| 91307 |
|
17 |
17 |
$0.37 |
| 91300 |
|
15 |
15 |
$0.05 |
| 1160F |
|
1,935 |
1,880 |
$0.02 |
| 3008F |
|
4,856 |
4,488 |
$0.02 |
| 1159F |
|
1,656 |
1,610 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
72 |
72 |
$0.00 |
| 3016F |
|
342 |
342 |
$0.00 |
| 3725F |
|
536 |
536 |
$0.00 |
| 3210F |
|
79 |
77 |
$0.00 |
| G9791 |
Most recent tobacco status is tobacco free |
35 |
35 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
264 |
263 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
25 |
25 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
406 |
388 |
$0.00 |
| 2001F |
|
1,549 |
1,509 |
$0.00 |
| 2010F |
|
946 |
946 |
$0.00 |
| 1000F |
|
325 |
325 |
$0.00 |
| 1005F |
|
44 |
44 |
$0.00 |
| 99000 |
|
475 |
456 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
172 |
172 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
268 |
267 |
$0.00 |
| G9788 |
Most recent bp is less than or equal to 130/80 mm hg |
327 |
326 |
$0.00 |
| 1036F |
|
455 |
455 |
$0.00 |
| 2000F |
|
1,041 |
1,038 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
35 |
35 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
30 |
30 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |