| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,297 |
8,604 |
$201K |
| 92587 |
|
4,955 |
4,944 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,148 |
10,373 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,289 |
3,289 |
$43K |
| D1206 |
Topical application of fluoride varnish |
1,522 |
1,507 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,784 |
2,776 |
$36K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,808 |
1,771 |
$33K |
| 92557 |
|
1,193 |
1,138 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,224 |
2,219 |
$26K |
| 97802 |
|
11,930 |
11,786 |
$23K |
| 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 |
11,694 |
11,546 |
$21K |
| 99173 |
|
5,408 |
5,390 |
$17K |
| 83655 |
|
1,936 |
1,931 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,545 |
1,526 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,133 |
1,118 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,444 |
2,363 |
$12K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,965 |
1,964 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,328 |
2,324 |
$9K |
| 90461 |
|
3,285 |
2,772 |
$8K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,408 |
2,406 |
$8K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
493 |
493 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
7,309 |
7,121 |
$4K |
| S9451 |
Exercise classes, non-physician provider, per session |
11,609 |
11,482 |
$3K |
| 99401 |
|
469 |
447 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,540 |
2,528 |
$3K |
| 99442 |
|
255 |
249 |
$2K |
| 96127 |
|
2,910 |
2,886 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
168 |
163 |
$2K |
| 87320 |
|
1,266 |
1,249 |
$2K |
| 90686 |
|
3,030 |
3,028 |
$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 |
3,349 |
3,344 |
$1K |
| 92567 |
|
109 |
109 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
57 |
56 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
118 |
118 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
2,862 |
2,847 |
$841.99 |
| 99188 |
|
116 |
116 |
$750.00 |
| 96160 |
|
3,025 |
3,015 |
$466.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
135 |
$372.78 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$327.58 |
| 99408 |
|
2,618 |
2,589 |
$264.94 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
757 |
755 |
$167.44 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
28 |
28 |
$150.00 |
| 90670 |
|
872 |
866 |
$120.00 |
| 94070 |
|
14 |
14 |
$118.54 |
| 96161 |
|
532 |
519 |
$110.50 |
| H0049 |
Alcohol and/or drug screening |
114 |
114 |
$96.00 |
| 94664 |
|
27 |
27 |
$64.24 |
| 90698 |
|
502 |
501 |
$60.00 |
| 85018 |
|
20 |
19 |
$41.46 |
| 87081 |
|
12 |
12 |
$26.00 |
| 90688 |
|
50 |
50 |
$17.84 |
| 90680 |
|
177 |
177 |
$15.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,127 |
1,112 |
$1.15 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
15 |
$0.42 |
| 3008F |
|
8,894 |
8,683 |
$0.05 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,385 |
2,378 |
$0.02 |
| 2001F |
|
6,702 |
6,522 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,848 |
5,749 |
$0.00 |
| 2000F |
|
6,500 |
6,411 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
741 |
724 |
$0.00 |
| 99000 |
|
994 |
968 |
$0.00 |
| 1031F |
|
10,436 |
10,211 |
$0.00 |
| 1036F |
|
1,798 |
1,750 |
$0.00 |
| 1220F |
|
2,134 |
2,124 |
$0.00 |
| 1000F |
|
10,937 |
10,670 |
$0.00 |
| 2010F |
|
3,531 |
3,483 |
$0.00 |
| 90744 |
|
64 |
62 |
$0.00 |
| G9228 |
Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) |
130 |
129 |
$0.00 |
| 90651 |
|
102 |
102 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,098 |
1,090 |
$0.00 |
| 1111F |
|
36 |
36 |
$0.00 |
| 2016F |
|
40 |
39 |
$0.00 |
| 90620 |
|
29 |
29 |
$0.00 |
| 3074F |
|
291 |
291 |
$0.00 |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
13 |
13 |
$0.00 |
| 1005F |
|
93 |
90 |
$0.00 |
| 4293F |
|
118 |
118 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| G8710 |
Patient prescribed antibiotic |
96 |
91 |
$0.00 |
| 2015F |
|
15 |
15 |
$0.00 |
| 1030F |
|
12 |
12 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
534 |
534 |
$0.00 |
| 1033F |
|
8,465 |
8,320 |
$0.00 |
| S0316 |
Disease management program, follow-up/reassessment |
970 |
953 |
$0.00 |
| 3016F |
|
2,022 |
2,014 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,487 |
2,421 |
$0.00 |
| 3725F |
|
2,102 |
2,089 |
$0.00 |
| 3078F |
|
330 |
330 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
1,081 |
1,073 |
$0.00 |
| 90734 |
|
80 |
80 |
$0.00 |
| G8709 |
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
96 |
91 |
$0.00 |
| 3210F |
|
107 |
106 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
39 |
39 |
$0.00 |
| 4124F |
|
14 |
14 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
14 |
14 |
$0.00 |
| 90633 |
|
261 |
261 |
$0.00 |
| 3511F |
|
97 |
96 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
38 |
38 |
$0.00 |
| 4120F |
|
84 |
79 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
15 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 99051 |
|
22 |
22 |
$0.00 |
| G8712 |
Antibiotic not prescribed or dispensed |
16 |
16 |
$0.00 |
| 4035F |
|
12 |
12 |
$0.00 |