| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,559 |
16,198 |
$53K |
| 90656 |
|
7,140 |
7,139 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,646 |
13,589 |
$47K |
| 92587 |
|
12,617 |
12,575 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,321 |
4,305 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,764 |
4,710 |
$8K |
| 99401 |
|
11,864 |
11,608 |
$7K |
| 90660 |
|
351 |
351 |
$7K |
| H0001 |
Alcohol and/or drug assessment |
5,638 |
5,627 |
$6K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
4,975 |
4,965 |
$4K |
| 90461 |
|
2,963 |
2,961 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,617 |
2,571 |
$3K |
| 97802 |
|
4,948 |
4,943 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,882 |
3,871 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
268 |
267 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
11,000 |
10,878 |
$938.01 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,132 |
4,121 |
$911.00 |
| 99173 |
|
6,280 |
6,267 |
$647.42 |
| 90619 |
|
175 |
175 |
$640.00 |
| 87430 |
|
552 |
543 |
$555.72 |
| 90655 |
|
66 |
66 |
$534.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
41 |
$434.46 |
| 94760 |
|
8,861 |
8,375 |
$426.40 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
2,053 |
2,042 |
$360.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
339 |
336 |
$254.99 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$232.18 |
| 3078F |
|
4,235 |
4,220 |
$225.00 |
| 3074F |
|
4,293 |
4,279 |
$225.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,016 |
1,010 |
$219.77 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
56 |
$188.34 |
| 90651 |
|
1,693 |
1,689 |
$154.29 |
| 90734 |
|
1,134 |
1,134 |
$150.00 |
| 90670 |
|
340 |
337 |
$150.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
308 |
304 |
$69.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
22 |
$55.42 |
| 85018 |
|
27 |
27 |
$49.14 |
| 90686 |
|
822 |
822 |
$19.04 |
| 81000 |
|
117 |
116 |
$10.46 |
| 3725F |
|
4,183 |
4,172 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,200 |
4,189 |
$0.00 |
| 3016F |
|
4,103 |
4,092 |
$0.00 |
| 90715 |
|
185 |
185 |
$0.00 |
| 90621 |
|
37 |
37 |
$0.00 |
| 90633 |
|
185 |
185 |
$0.00 |
| 90710 |
|
37 |
37 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |
| 1036F |
|
4,182 |
4,171 |
$0.00 |
| 2010F |
|
4,869 |
4,857 |
$0.00 |
| 3008F |
|
8,287 |
8,188 |
$0.00 |
| 1000F |
|
4,288 |
4,270 |
$0.00 |
| 90680 |
|
38 |
38 |
$0.00 |
| 90698 |
|
37 |
37 |
$0.00 |