| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,172 |
2,142 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
781 |
761 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,476 |
1,400 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,495 |
1,460 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
490 |
490 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,121 |
1,799 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
395 |
368 |
$3K |
| 90461 |
|
740 |
727 |
$3K |
| 92551 |
|
1,341 |
1,338 |
$2K |
| 99382 |
|
139 |
138 |
$1K |
| 99383 |
|
189 |
189 |
$746.71 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
124 |
$712.82 |
| 92587 |
|
393 |
393 |
$632.55 |
| 99188 |
|
72 |
72 |
$610.06 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
277 |
277 |
$544.49 |
| 99384 |
|
40 |
40 |
$433.12 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
150 |
150 |
$324.40 |
| 83655 |
|
47 |
47 |
$323.07 |
| 87110 |
|
19 |
19 |
$309.60 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
14 |
$250.00 |
| 90620 |
|
12 |
12 |
$250.00 |
| 90651 |
|
69 |
69 |
$200.00 |
| 90658 |
|
95 |
95 |
$184.42 |
| 99173 |
|
1,551 |
1,546 |
$137.17 |
| 2010F |
|
2,089 |
2,000 |
$129.50 |
| 3008F |
|
1,859 |
1,806 |
$119.00 |
| 2001F |
|
1,860 |
1,792 |
$115.50 |
| S9451 |
Exercise classes, non-physician provider, per session |
295 |
295 |
$73.50 |
| 96127 |
|
230 |
206 |
$68.21 |
| 85018 |
|
33 |
33 |
$63.21 |
| 3078F |
|
473 |
465 |
$60.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,205 |
1,195 |
$55.90 |
| 3074F |
|
486 |
477 |
$55.00 |
| 97803 |
|
195 |
195 |
$52.81 |
| 90688 |
|
123 |
123 |
$40.96 |
| 90687 |
|
354 |
353 |
$31.46 |
| 1160F |
|
752 |
708 |
$24.50 |
| 90686 |
|
37 |
37 |
$23.53 |
| 1159F |
|
725 |
688 |
$21.00 |
| 2000F |
|
560 |
545 |
$21.00 |
| 36400 |
|
13 |
13 |
$14.20 |
| H0001 |
Alcohol and/or drug assessment |
61 |
61 |
$10.00 |
| 99001 |
|
29 |
29 |
$3.34 |
| 99000 |
|
501 |
498 |
$2.77 |
| 81000 |
|
36 |
36 |
$2.00 |
| 94760 |
|
52 |
52 |
$1.48 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
18 |
18 |
$0.00 |
| 90670 |
|
145 |
145 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
60 |
60 |
$0.00 |
| 90633 |
|
110 |
110 |
$0.00 |
| 3016F |
|
28 |
28 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
48 |
48 |
$0.00 |
| 99408 |
|
14 |
14 |
$0.00 |
| 80061 |
Lipid panel |
59 |
59 |
$0.00 |
| 84439 |
|
13 |
13 |
$0.00 |
| 90671 |
|
15 |
15 |
$0.00 |
| 3725F |
|
47 |
47 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 1000F |
|
33 |
33 |
$0.00 |
| 1126F |
|
148 |
145 |
$0.00 |
| 1036F |
|
46 |
46 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 97802 |
|
210 |
210 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |
| 86701 |
|
22 |
22 |
$0.00 |
| 36410 |
|
24 |
24 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
20 |
20 |
$0.00 |