| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,041 |
1,810 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
708 |
696 |
$19K |
| 99441 |
|
209 |
196 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
163 |
143 |
$3K |
| 92587 |
|
399 |
397 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
163 |
162 |
$2K |
| 99401 |
|
1,203 |
1,147 |
$2K |
| 0001A |
|
40 |
37 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
137 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
353 |
352 |
$671.86 |
| 0002A |
|
13 |
13 |
$520.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$281.37 |
| 36415 |
Collection of venous blood by venipuncture |
523 |
492 |
$167.31 |
| 90461 |
|
32 |
32 |
$135.70 |
| 99443 |
|
26 |
24 |
$130.08 |
| 99442 |
|
45 |
39 |
$113.72 |
| 81002 |
|
256 |
253 |
$110.68 |
| 85018 |
|
44 |
44 |
$95.79 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
28 |
$79.07 |
| 99173 |
|
414 |
413 |
$56.68 |
| H0001 |
Alcohol and/or drug assessment |
129 |
129 |
$40.07 |
| 96127 |
|
55 |
55 |
$32.97 |
| 87110 |
|
70 |
70 |
$0.69 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
206 |
201 |
$0.57 |
| 97802 |
|
215 |
212 |
$0.14 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.13 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
915 |
826 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
354 |
331 |
$0.00 |
| 3016F |
|
129 |
129 |
$0.00 |
| 3725F |
|
154 |
153 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
129 |
129 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
72 |
72 |
$0.00 |
| 1159F |
|
15 |
15 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 2010F |
|
833 |
786 |
$0.00 |
| 3008F |
|
1,737 |
1,541 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
847 |
783 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
137 |
137 |
$0.00 |
| 99000 |
|
716 |
665 |
$0.00 |
| 3351F |
|
50 |
50 |
$0.00 |
| 1030F |
|
108 |
108 |
$0.00 |
| 3048F |
|
80 |
78 |
$0.00 |
| 1000F |
|
129 |
129 |
$0.00 |
| 1036F |
|
129 |
129 |
$0.00 |
| 4037F |
|
108 |
108 |
$0.00 |
| 1220F |
|
54 |
54 |
$0.00 |
| 90686 |
|
71 |
71 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |