| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,455 |
6,738 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,900 |
4,505 |
$74K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,349 |
3,343 |
$48K |
| D1206 |
Topical application of fluoride varnish |
1,628 |
1,622 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,826 |
1,804 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
737 |
735 |
$14K |
| 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 |
5,385 |
5,343 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,323 |
1,322 |
$14K |
| 92587 |
|
4,879 |
4,865 |
$13K |
| 83655 |
|
1,342 |
1,337 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,607 |
1,598 |
$12K |
| 99406 |
|
1,756 |
1,754 |
$12K |
| 86580 |
|
1,447 |
1,441 |
$11K |
| 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 |
1,904 |
1,903 |
$7K |
| 85018 |
|
3,877 |
3,866 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,143 |
1,137 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,665 |
1,664 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
1,709 |
1,708 |
$3K |
| 90656 |
|
862 |
861 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,428 |
1,411 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
204 |
203 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
3,834 |
3,825 |
$2K |
| 90670 |
|
183 |
182 |
$2K |
| 94070 |
|
259 |
258 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
640 |
636 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
262 |
255 |
$1K |
| 99173 |
|
3,986 |
3,973 |
$1K |
| 0002A |
|
31 |
31 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
116 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,373 |
1,371 |
$1K |
| 81002 |
|
3,152 |
3,143 |
$961.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
735 |
730 |
$941.02 |
| 0001A |
|
27 |
27 |
$864.58 |
| 90734 |
|
93 |
93 |
$765.00 |
| 97802 |
|
210 |
205 |
$601.46 |
| 90461 |
|
77 |
74 |
$171.96 |
| 87631 |
|
85 |
81 |
$150.00 |
| 90716 |
|
57 |
57 |
$144.00 |
| 90633 |
|
53 |
53 |
$144.00 |
| 87081 |
|
97 |
97 |
$83.74 |
| 90648 |
|
14 |
14 |
$75.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
124 |
$65.24 |
| 90715 |
|
26 |
26 |
$37.50 |
| 94060 |
|
188 |
188 |
$24.77 |
| 90655 |
|
12 |
12 |
$17.24 |
| 3008F |
|
60 |
60 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
123 |
123 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
107 |
107 |
$0.00 |