| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,606 |
8,055 |
$161K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,587 |
9,889 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,042 |
3,038 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,632 |
2,625 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
779 |
779 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,320 |
2,319 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,597 |
1,566 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
422 |
421 |
$6K |
| 83655 |
|
1,242 |
1,239 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,015 |
2,012 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
489 |
488 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
991 |
990 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,349 |
2,347 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
998 |
997 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,914 |
1,904 |
$4K |
| 96127 |
|
5,491 |
5,485 |
$4K |
| H0049 |
Alcohol and/or drug screening |
745 |
745 |
$4K |
| 0071A |
|
94 |
94 |
$3K |
| 90461 |
|
2,699 |
2,341 |
$3K |
| 99442 |
|
2,017 |
1,848 |
$2K |
| 0072A |
|
54 |
54 |
$2K |
| 87320 |
|
1,293 |
1,290 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,129 |
2,127 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
77 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,342 |
5,333 |
$1K |
| 90686 |
|
1,610 |
1,609 |
$608.97 |
| 90633 |
|
1,197 |
1,196 |
$387.00 |
| 90670 |
|
1,228 |
1,227 |
$250.70 |
| 90734 |
|
843 |
842 |
$215.80 |
| 90647 |
|
1,061 |
1,061 |
$170.00 |
| 90723 |
|
556 |
556 |
$65.20 |
| 90680 |
|
507 |
506 |
$60.00 |
| 90716 |
|
247 |
247 |
$50.20 |
| 80053 |
Comprehensive metabolic panel |
1,844 |
1,842 |
$30.20 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,484 |
1,482 |
$27.18 |
| 90715 |
|
247 |
246 |
$25.10 |
| 90700 |
|
81 |
81 |
$25.00 |
| 90685 |
|
55 |
55 |
$21.81 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
488 |
488 |
$21.64 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
421 |
421 |
$21.64 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
565 |
565 |
$18.67 |
| 81000 |
|
1,793 |
1,787 |
$12.00 |
| 84439 |
|
1,139 |
1,137 |
$9.00 |
| 90620 |
|
630 |
630 |
$6.28 |
| 84478 |
|
1,150 |
1,150 |
$5.08 |
| 82465 |
|
1,300 |
1,300 |
$4.35 |
| H0001 |
Alcohol and/or drug assessment |
2,415 |
2,413 |
$1.00 |
| 91307 |
|
157 |
150 |
$0.71 |
| 91300 |
|
12 |
12 |
$0.08 |
| 3008F |
|
13,176 |
12,312 |
$0.08 |
| 1160F |
|
991 |
945 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,292 |
2,291 |
$0.00 |
| 3016F |
|
1,861 |
1,861 |
$0.00 |
| 3725F |
|
1,922 |
1,921 |
$0.00 |
| 90671 |
|
142 |
142 |
$0.00 |
| 90707 |
|
103 |
103 |
$0.00 |
| 90681 |
|
114 |
114 |
$0.00 |
| 1159F |
|
998 |
951 |
$0.00 |
| 99080 |
|
444 |
240 |
$0.00 |
| 90710 |
|
92 |
92 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
80 |
80 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
18 |
18 |
$0.00 |
| 90656 |
|
1,062 |
1,059 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
916 |
915 |
$0.00 |
| 90634 |
|
98 |
98 |
$0.00 |
| 1036F |
|
1,483 |
1,482 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
2,124 |
2,121 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
128 |
128 |
$0.00 |
| 90651 |
|
1,041 |
1,039 |
$0.00 |
| 1000F |
|
1,433 |
1,433 |
$0.00 |
| 90674 |
|
276 |
276 |
$0.00 |
| 84436 |
|
240 |
240 |
$0.00 |
| 90677 |
|
142 |
142 |
$0.00 |
| 90696 |
|
51 |
51 |
$0.00 |
| 86592 |
|
99 |
99 |
$0.00 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
67 |
67 |
$0.00 |