| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,048 |
9,855 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,735 |
12,691 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,084 |
3,076 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,298 |
3,294 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,520 |
2,487 |
$30K |
| 86580 |
|
3,496 |
3,468 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,244 |
2,237 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,157 |
3,992 |
$20K |
| 83655 |
|
1,545 |
1,536 |
$12K |
| 92551 |
|
8,162 |
8,145 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,079 |
1,055 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,041 |
1,005 |
$9K |
| 90670 |
|
749 |
745 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
715 |
697 |
$7K |
| 99401 |
|
6,075 |
6,044 |
$7K |
| H0001 |
Alcohol and/or drug assessment |
3,859 |
3,850 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
526 |
526 |
$5K |
| 90461 |
|
2,454 |
2,443 |
$5K |
| 99173 |
|
5,976 |
5,956 |
$3K |
| 0072A |
|
79 |
79 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
10,089 |
9,926 |
$3K |
| 0071A |
|
58 |
58 |
$2K |
| 90686 |
|
5,034 |
5,021 |
$2K |
| 97802 |
|
5,887 |
5,861 |
$2K |
| 90619 |
|
402 |
399 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,092 |
1,085 |
$1K |
| 90651 |
|
956 |
955 |
$1K |
| 90734 |
|
368 |
367 |
$935.00 |
| 90671 |
|
58 |
58 |
$933.26 |
| 90620 |
|
670 |
669 |
$665.75 |
| 90633 |
|
526 |
523 |
$636.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
152 |
126 |
$416.18 |
| 0002A |
|
13 |
13 |
$409.32 |
| 99383 |
|
16 |
16 |
$390.82 |
| 99442 |
|
67 |
64 |
$381.57 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$207.00 |
| 86480 |
|
103 |
102 |
$125.00 |
| 90685 |
|
167 |
167 |
$104.64 |
| 90723 |
|
45 |
45 |
$100.00 |
| 90647 |
|
190 |
187 |
$100.00 |
| 99402 |
|
147 |
146 |
$80.00 |
| 90715 |
|
96 |
95 |
$75.00 |
| 90672 |
|
277 |
276 |
$26.88 |
| 85018 |
|
12 |
12 |
$18.43 |
| 3074F |
|
326 |
326 |
$17.50 |
| 90688 |
|
15 |
15 |
$15.48 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,631 |
2,615 |
$13.50 |
| 36410 |
|
100 |
99 |
$10.00 |
| 96160 |
|
29 |
29 |
$5.91 |
| 91307 |
|
121 |
112 |
$0.97 |
| 91300 |
|
32 |
32 |
$0.02 |
| 3725F |
|
861 |
860 |
$0.01 |
| 1159F |
|
2,920 |
2,697 |
$0.00 |
| 3016F |
|
679 |
679 |
$0.00 |
| 90710 |
|
236 |
235 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,990 |
2,979 |
$0.00 |
| 1160F |
|
2,921 |
2,697 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |
| 3078F |
|
296 |
296 |
$0.00 |
| 2026F |
|
109 |
108 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| 82948 |
|
12 |
12 |
$0.00 |
| 3051F |
|
14 |
14 |
$0.00 |
| 3008F |
|
6,211 |
6,185 |
$0.00 |
| 1000F |
|
667 |
667 |
$0.00 |
| 3044F |
|
27 |
27 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
86 |
86 |
$0.00 |
| 3072F |
|
43 |
42 |
$0.00 |
| 2015F |
|
14 |
14 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |