| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,555 |
12,176 |
$1.40M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,858 |
2,748 |
$350K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,109 |
2,026 |
$237K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,558 |
2,452 |
$152K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,148 |
1,097 |
$142K |
| S0215 |
Non-emergency transportation; mileage, per mile |
4,294 |
1,215 |
$134K |
| A0100 |
Non-emergency transportation; taxi |
4,294 |
1,215 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,156 |
2,133 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
399 |
379 |
$45K |
| 90620 |
|
448 |
448 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,109 |
2,074 |
$32K |
| 86580 |
|
3,949 |
3,945 |
$30K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
805 |
756 |
$23K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,594 |
1,581 |
$22K |
| 92551 |
|
3,692 |
3,692 |
$20K |
| 87110 |
|
1,145 |
1,145 |
$15K |
| 86769 |
|
536 |
536 |
$15K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
274 |
267 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,560 |
2,557 |
$10K |
| 81000 |
|
3,997 |
3,993 |
$10K |
| 87270 |
|
1,206 |
1,206 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
362 |
357 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
394 |
394 |
$7K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
96 |
91 |
$7K |
| 99188 |
|
1,593 |
1,540 |
$6K |
| 0002A |
|
120 |
120 |
$5K |
| 0001A |
|
117 |
117 |
$5K |
| 90686 |
|
1,313 |
1,313 |
$4K |
| 86480 |
|
86 |
85 |
$3K |
| 90473 |
|
180 |
180 |
$3K |
| 92587 |
|
162 |
161 |
$3K |
| 0071A |
|
59 |
59 |
$3K |
| 0072A |
|
53 |
53 |
$2K |
| 0003A |
|
51 |
51 |
$2K |
| 90672 |
|
892 |
892 |
$2K |
| H0049 |
Alcohol and/or drug screening |
729 |
728 |
$2K |
| 96127 |
|
1,041 |
1,034 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
143 |
$2K |
| 0012A |
|
22 |
22 |
$904.89 |
| 0004A |
|
21 |
21 |
$897.33 |
| 90651 |
|
120 |
120 |
$895.34 |
| 0011A |
|
20 |
20 |
$861.80 |
| 83655 |
|
125 |
125 |
$794.87 |
| 0064A |
|
15 |
15 |
$646.35 |
| 0031A |
|
14 |
14 |
$603.26 |
| 90658 |
|
357 |
357 |
$588.24 |
| 90715 |
|
12 |
12 |
$373.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$352.17 |
| 90656 |
|
154 |
154 |
$211.77 |
| 81002 |
|
89 |
89 |
$198.88 |
| 36410 |
|
14 |
14 |
$191.24 |
| 90734 |
|
119 |
119 |
$169.89 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,869 |
3,801 |
$5.04 |
| S9449 |
Weight management classes, non-physician provider, per session |
4,034 |
3,967 |
$4.98 |
| 99173 |
|
3,975 |
3,970 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
4,160 |
4,149 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
396 |
376 |
$0.00 |
| 91300 |
|
339 |
310 |
$0.00 |
| 97803 |
|
194 |
169 |
$0.00 |
| 97802 |
|
3,596 |
3,543 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,157 |
2,153 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
499 |
497 |
$0.00 |
| 99000 |
|
372 |
372 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
395 |
376 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,557 |
1,500 |
$0.00 |
| 91307 |
|
122 |
109 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
896 |
641 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
252 |
196 |
$0.00 |
| 91301 |
|
50 |
48 |
$0.00 |
| 90657 |
|
14 |
14 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |
| 91303 |
|
14 |
14 |
$0.00 |