| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,492 |
5,280 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,541 |
2,093 |
$29K |
| 0012A |
|
1,037 |
716 |
$25K |
| 0011A |
|
1,281 |
784 |
$19K |
| 99215 |
Prolong outpt/office vis |
9,414 |
7,453 |
$19K |
| 90686 |
|
2,861 |
2,362 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,548 |
25,590 |
$13K |
| 90651 |
|
152 |
86 |
$10K |
| 0003A |
|
217 |
214 |
$9K |
| 0013A |
|
188 |
188 |
$7K |
| 99443 |
|
14,981 |
12,519 |
$5K |
| 99441 |
|
8,909 |
7,189 |
$5K |
| 90732 |
|
53 |
51 |
$4K |
| 0072A |
|
96 |
96 |
$4K |
| 91307 |
|
193 |
123 |
$3K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
28,803 |
23,637 |
$3K |
| 99442 |
|
3,510 |
3,147 |
$3K |
| 0004A |
|
51 |
50 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,583 |
9,027 |
$2K |
| 90716 |
|
181 |
170 |
$2K |
| 0071A |
|
79 |
79 |
$2K |
| 90707 |
|
172 |
161 |
$1K |
| 99050 |
|
2,863 |
2,630 |
$847.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,012 |
3,266 |
$804.83 |
| 90715 |
|
307 |
276 |
$761.76 |
| 0054A |
|
19 |
18 |
$680.00 |
| 0064A |
|
14 |
14 |
$520.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,782 |
2,138 |
$289.63 |
| 96152 |
|
92 |
68 |
$209.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,407 |
1,983 |
$200.95 |
| 90791 |
Psychiatric diagnostic evaluation |
34 |
25 |
$200.00 |
| 90670 |
|
378 |
366 |
$168.97 |
| 99205 |
Prolong outpt/office vis |
48 |
43 |
$160.00 |
| 96127 |
|
2,647 |
2,147 |
$101.76 |
| 99397 |
|
1,645 |
1,259 |
$90.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
7,480 |
5,854 |
$71.40 |
| 99406 |
|
268 |
232 |
$37.50 |
| 96160 |
|
1,263 |
1,128 |
$34.68 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,326 |
2,598 |
$34.06 |
| 3079F |
|
4,321 |
3,984 |
$11.88 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
130 |
87 |
$10.00 |
| 3080F |
|
686 |
665 |
$2.94 |
| 3077F |
|
1,379 |
1,316 |
$2.94 |
| 91301 |
|
2,575 |
1,718 |
$0.20 |
| 96150 |
|
160 |
152 |
$0.02 |
| 2001F |
|
30,669 |
25,715 |
$0.00 |
| 3075F |
|
1,502 |
1,304 |
$0.00 |
| 1125F |
|
6,152 |
5,573 |
$0.00 |
| 1111F |
|
14,827 |
12,264 |
$0.00 |
| 3008F |
|
30,232 |
26,097 |
$0.00 |
| 2010F |
|
40,600 |
34,049 |
$0.00 |
| 2000F |
|
12,867 |
10,521 |
$0.00 |
| 1170F |
|
15,108 |
12,515 |
$0.00 |
| 3074F |
|
20,128 |
17,427 |
$0.00 |
| 1157F |
|
5,812 |
4,617 |
$0.00 |
| 1126F |
|
36,154 |
31,029 |
$0.00 |
| 3011F |
|
1,605 |
1,549 |
$0.00 |
| 90647 |
|
73 |
73 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,497 |
1,331 |
$0.00 |
| 90620 |
|
32 |
24 |
$0.00 |
| 90698 |
|
75 |
75 |
$0.00 |
| 3048F |
|
505 |
485 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
293 |
275 |
$0.00 |
| 90680 |
|
102 |
102 |
$0.00 |
| 3049F |
|
270 |
256 |
$0.00 |
| 3017F |
|
113 |
100 |
$0.00 |
| 3044F |
|
58 |
51 |
$0.00 |
| 90656 |
|
51 |
51 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
194 |
180 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
32 |
32 |
$0.00 |
| 90619 |
|
71 |
41 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
94 |
94 |
$0.00 |
| 91305 |
|
19 |
18 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$0.00 |
| 80047 |
|
12 |
12 |
$0.00 |
| 99368 |
|
40 |
39 |
$0.00 |
| 1159F |
|
49,069 |
40,905 |
$0.00 |
| 3078F |
|
18,687 |
16,149 |
$0.00 |
| 1158F |
|
6,408 |
5,145 |
$0.00 |
| 1160F |
|
49,054 |
40,887 |
$0.00 |
| 3725F |
|
2,580 |
2,082 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,225 |
5,248 |
$0.00 |
| 90633 |
|
168 |
168 |
$0.00 |
| 91300 |
|
299 |
295 |
$0.00 |
| 0521F |
|
668 |
611 |
$0.00 |
| 99411 |
|
840 |
688 |
$0.00 |
| 99408 |
|
355 |
318 |
$0.00 |
| 90649 |
|
296 |
296 |
$0.00 |
| 99446 |
|
50 |
39 |
$0.00 |
| 90734 |
|
184 |
184 |
$0.00 |
| 3050F |
|
100 |
100 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
26 |
24 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90648 |
|
19 |
19 |
$0.00 |
| 80061 |
Lipid panel |
29 |
29 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |