| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,146 |
5,067 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,035 |
4,721 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,539 |
1,522 |
$55K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
874 |
869 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,373 |
1,368 |
$12K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,698 |
1,696 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,257 |
1,249 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
988 |
987 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
727 |
707 |
$8K |
| 99173 |
|
2,772 |
2,767 |
$6K |
| 92552 |
|
2,591 |
2,591 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,336 |
1,313 |
$6K |
| 90658 |
|
2,312 |
2,304 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
788 |
573 |
$3K |
| 92553 |
|
512 |
508 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$827.65 |
| 92551 |
|
300 |
300 |
$722.34 |
| 90620 |
|
81 |
81 |
$691.32 |
| 36415 |
Collection of venous blood by venipuncture |
548 |
545 |
$621.00 |
| 97802 |
|
405 |
400 |
$607.78 |
| S9451 |
Exercise classes, non-physician provider, per session |
545 |
542 |
$572.58 |
| 99442 |
|
38 |
36 |
$486.60 |
| 99383 |
|
13 |
13 |
$458.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
66 |
$451.51 |
| H0001 |
Alcohol and/or drug assessment |
1,227 |
1,226 |
$370.24 |
| 90656 |
|
159 |
159 |
$367.82 |
| 90461 |
|
46 |
46 |
$345.74 |
| 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 |
575 |
573 |
$310.08 |
| 90651 |
|
243 |
243 |
$287.00 |
| 90670 |
|
506 |
495 |
$215.33 |
| 90655 |
|
41 |
41 |
$115.60 |
| G8780 |
Counseling for diet and physical activity performed |
26 |
26 |
$90.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
945 |
944 |
$87.75 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
614 |
613 |
$75.09 |
| 90633 |
|
294 |
294 |
$65.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
72 |
$55.23 |
| 36406 |
|
27 |
27 |
$39.48 |
| 90715 |
|
12 |
12 |
$35.65 |
| 99072 |
|
517 |
504 |
$31.91 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
2,152 |
2,147 |
$31.50 |
| 83655 |
|
13 |
13 |
$27.86 |
| 87110 |
|
12 |
12 |
$8.19 |
| T1015 |
Clinic visit/encounter, all-inclusive |
41 |
40 |
$4.50 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
199 |
197 |
$0.05 |
| 3008F |
|
3,117 |
3,068 |
$0.00 |
| G9153 |
Mapcp demonstration - physician incentive pool |
508 |
499 |
$0.00 |
| 1000F |
|
194 |
189 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,170 |
1,169 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
393 |
392 |
$0.00 |
| 90619 |
|
24 |
24 |
$0.00 |
| 90723 |
|
43 |
43 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90648 |
|
233 |
233 |
$0.00 |
| 3725F |
|
841 |
836 |
$0.00 |
| 1160F |
|
1,360 |
1,358 |
$0.00 |
| 1159F |
|
2,214 |
2,214 |
$0.00 |
| 99080 |
|
2,401 |
408 |
$0.00 |
| 3511F |
|
510 |
510 |
$0.00 |
| 3016F |
|
194 |
189 |
$0.00 |
| 4124F |
|
454 |
427 |
$0.00 |
| 90681 |
|
41 |
41 |
$0.00 |
| 99408 |
|
172 |
171 |
$0.00 |
| 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 |
73 |
73 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 99367 |
|
13 |
13 |
$0.00 |
| 90734 |
|
39 |
39 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |