| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,050 |
7,587 |
$78K |
| 92587 |
|
5,636 |
5,635 |
$76K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,983 |
4,943 |
$50K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,715 |
1,710 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,962 |
1,962 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,552 |
1,552 |
$22K |
| 92567 |
|
5,084 |
5,083 |
$21K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
932 |
908 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,389 |
1,389 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,850 |
3,767 |
$18K |
| 99401 |
|
3,953 |
3,929 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
735 |
723 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,004 |
995 |
$11K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
528 |
528 |
$10K |
| 99173 |
|
4,466 |
4,465 |
$6K |
| 97802 |
|
5,168 |
5,167 |
$6K |
| 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 |
4,504 |
4,421 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
262 |
253 |
$4K |
| 86580 |
|
447 |
446 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,774 |
1,705 |
$3K |
| 0072A |
|
79 |
79 |
$3K |
| 0071A |
|
71 |
71 |
$3K |
| 85018 |
|
1,385 |
1,385 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
149 |
142 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
108 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
144 |
144 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
811 |
804 |
$2K |
| 0002A |
|
39 |
39 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,323 |
3,294 |
$1K |
| 0001A |
|
32 |
32 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
3,021 |
3,021 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$1K |
| 99383 |
|
27 |
27 |
$873.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
182 |
182 |
$799.91 |
| 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 |
244 |
244 |
$730.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,492 |
1,489 |
$635.00 |
| 90686 |
|
2,004 |
2,004 |
$505.92 |
| H0001 |
Alcohol and/or drug assessment |
1,762 |
1,762 |
$430.79 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$420.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,904 |
1,904 |
$227.00 |
| 0154A |
|
13 |
13 |
$200.00 |
| 90651 |
|
507 |
507 |
$196.35 |
| 36416 |
|
1,570 |
1,570 |
$180.00 |
| 99441 |
|
17 |
17 |
$175.23 |
| 91307 |
|
118 |
111 |
$103.55 |
| 90620 |
|
87 |
87 |
$100.00 |
| G0008 |
Administration of influenza virus vaccine |
51 |
51 |
$70.00 |
| 86769 |
|
42 |
42 |
$60.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
754 |
750 |
$56.25 |
| 90672 |
|
74 |
73 |
$26.88 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$25.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
585 |
583 |
$15.00 |
| 3008F |
|
7,142 |
6,831 |
$0.01 |
| 1000F |
|
1,352 |
1,351 |
$0.00 |
| 1036F |
|
1,343 |
1,342 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,907 |
1,907 |
$0.00 |
| 90656 |
|
224 |
223 |
$0.00 |
| 99000 |
|
1,348 |
1,335 |
$0.00 |
| 4293F |
|
1,330 |
1,330 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
144 |
137 |
$0.00 |
| G9416 |
Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays |
14 |
14 |
$0.00 |
| 91315 |
|
17 |
17 |
$0.00 |
| 3016F |
|
1,343 |
1,343 |
$0.00 |
| 3725F |
|
1,405 |
1,400 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
3,441 |
3,286 |
$0.00 |
| 90734 |
|
162 |
161 |
$0.00 |
| 90670 |
|
52 |
52 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
112 |
102 |
$0.00 |
| 91300 |
|
189 |
184 |
$0.00 |
| 90633 |
|
66 |
66 |
$0.00 |
| G9414 |
Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays |
131 |
131 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 90671 |
|
39 |
39 |
$0.00 |
| 90661 |
|
48 |
48 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
24 |
24 |
$0.00 |
| 90655 |
|
24 |
24 |
$0.00 |