| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,911 |
10,753 |
$806K |
| 99401 |
|
5,835 |
4,677 |
$159K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,671 |
5,312 |
$128K |
| 92587 |
|
3,460 |
3,458 |
$54K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,723 |
2,717 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
628 |
628 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
629 |
628 |
$47K |
| 97802 |
|
1,848 |
1,847 |
$28K |
| H0001 |
Alcohol and/or drug assessment |
674 |
673 |
$22K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
151 |
150 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
389 |
381 |
$13K |
| 99441 |
|
161 |
151 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,270 |
3,256 |
$7K |
| 90688 |
|
2,570 |
2,548 |
$6K |
| 36410 |
|
483 |
468 |
$6K |
| 99173 |
|
1,542 |
1,541 |
$6K |
| 99442 |
|
175 |
158 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
191 |
190 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
50 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
39 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
277 |
260 |
$4K |
| 99000 |
|
3,194 |
3,032 |
$3K |
| 90480 |
|
92 |
92 |
$3K |
| H0049 |
Alcohol and/or drug screening |
119 |
119 |
$3K |
| 86769 |
|
89 |
89 |
$2K |
| 90461 |
|
72 |
67 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
713 |
712 |
$1K |
| 81000 |
|
393 |
379 |
$966.39 |
| 87081 |
|
169 |
162 |
$891.37 |
| 0124A |
|
20 |
17 |
$848.44 |
| 0081A |
|
12 |
12 |
$389.88 |
| 87280 |
|
27 |
27 |
$175.06 |
| 87400 |
|
12 |
12 |
$157.32 |
| 99050 |
|
82 |
78 |
$129.60 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
474 |
474 |
$127.00 |
| 90687 |
|
14 |
14 |
$18.80 |
| 91312 |
|
20 |
17 |
$0.00 |
| 3725F |
|
601 |
600 |
$0.00 |
| 91308 |
|
35 |
29 |
$0.00 |
| 90734 |
|
42 |
39 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| 1036F |
|
546 |
545 |
$0.00 |
| 3008F |
|
2,533 |
2,532 |
$0.00 |
| 1220F |
|
704 |
703 |
$0.00 |
| D1310 |
|
59 |
59 |
$0.00 |
| D1330 |
|
59 |
59 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90651 |
|
52 |
51 |
$0.00 |
| 99381 |
|
127 |
62 |
$0.00 |
| 91307 |
|
40 |
37 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |