| Code | Description | Claims | Beneficiaries | Total Paid |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,359 |
4,351 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,506 |
4,493 |
$76K |
| G9920 |
Screening performed and negative |
8,224 |
8,214 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,884 |
10,374 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,587 |
2,561 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,077 |
1,044 |
$57K |
| 92552 |
|
11,673 |
11,640 |
$49K |
| 3008F |
|
13,589 |
13,539 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,710 |
5,412 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,062 |
2,059 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,284 |
1,385 |
$21K |
| 90686 |
|
2,575 |
2,562 |
$16K |
| 99490 |
Ccm add 20min |
602 |
601 |
$13K |
| 85018 |
|
13,726 |
13,559 |
$12K |
| 90658 |
|
2,458 |
2,447 |
$11K |
| 90649 |
|
1,821 |
1,811 |
$9K |
| 86580 |
|
2,624 |
2,609 |
$9K |
| 90670 |
|
1,003 |
998 |
$6K |
| 90715 |
|
1,110 |
1,106 |
$6K |
| 90620 |
|
625 |
622 |
$6K |
| 81003 |
|
10,894 |
10,704 |
$5K |
| 0004A |
|
324 |
237 |
$5K |
| 0072A |
|
256 |
172 |
$4K |
| 0124A |
|
217 |
153 |
$4K |
| 0071A |
|
226 |
150 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
320 |
319 |
$4K |
| 99173 |
|
10,657 |
10,606 |
$4K |
| 90621 |
|
779 |
774 |
$4K |
| 90734 |
|
1,161 |
1,156 |
$4K |
| 93000 |
|
1,836 |
1,833 |
$3K |
| 90698 |
|
552 |
549 |
$3K |
| 90633 |
|
595 |
584 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
857 |
857 |
$3K |
| 90744 |
|
439 |
434 |
$3K |
| 90680 |
|
449 |
444 |
$3K |
| 99383 |
|
31 |
31 |
$2K |
| 99384 |
|
22 |
22 |
$2K |
| 0001A |
|
123 |
87 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
324 |
317 |
$2K |
| 90750 |
|
94 |
94 |
$1K |
| 90662 |
|
90 |
90 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,472 |
1,471 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 0002A |
|
82 |
65 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
108 |
107 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
76 |
$1K |
| 99386 |
|
25 |
25 |
$976.41 |
| 90696 |
|
218 |
218 |
$964.64 |
| 90732 |
|
19 |
19 |
$830.69 |
| 90685 |
|
171 |
168 |
$801.00 |
| 90710 |
|
219 |
219 |
$797.83 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,680 |
3,677 |
$774.30 |
| 99000 |
|
364 |
355 |
$616.86 |
| 90716 |
|
104 |
98 |
$590.68 |
| 3079F |
|
288 |
285 |
$585.00 |
| 71046 |
Radiologic examination, chest; 2 views |
60 |
59 |
$486.32 |
| 3074F |
|
231 |
231 |
$480.00 |
| 3078F |
|
270 |
268 |
$470.00 |
| A4927 |
Gloves, non-sterile, per 100 |
9,004 |
8,795 |
$457.27 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
125 |
123 |
$413.26 |
| 90707 |
|
91 |
84 |
$388.13 |
| 90697 |
|
75 |
75 |
$375.00 |
| 3075F |
|
166 |
166 |
$335.00 |
| 90619 |
|
592 |
591 |
$318.00 |
| 99442 |
|
2,037 |
1,993 |
$166.19 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
162 |
162 |
$155.82 |
| 90700 |
|
65 |
64 |
$144.00 |
| 90657 |
|
46 |
46 |
$121.50 |
| 3725F |
|
4,404 |
4,401 |
$120.00 |
| 3044F |
|
64 |
64 |
$120.00 |
| 3077F |
|
119 |
116 |
$95.00 |
| 36415 |
Collection of venous blood by venipuncture |
189 |
168 |
$89.16 |
| 4010F |
|
312 |
310 |
$85.00 |
| 1126F |
|
281 |
281 |
$75.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
902 |
902 |
$70.34 |
| 90648 |
|
26 |
25 |
$63.00 |
| 1160F |
|
289 |
288 |
$60.00 |
| 81025 |
|
95 |
95 |
$51.17 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
178 |
177 |
$43.78 |
| 1159F |
|
441 |
439 |
$40.00 |
| 3061F |
|
24 |
24 |
$40.00 |
| 1157F |
|
307 |
306 |
$30.00 |
| 91300 |
|
339 |
331 |
$27.00 |
| 1170F |
|
58 |
58 |
$25.00 |
| 90461 |
|
43 |
38 |
$24.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$13.38 |
| 1036F |
|
908 |
874 |
$9.00 |
| 91307 |
|
299 |
276 |
$9.00 |
| 91312 |
|
90 |
90 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
352 |
299 |
$0.00 |
| 2028F |
|
108 |
108 |
$0.00 |
| 1158F |
|
306 |
305 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
38 |
37 |
$0.00 |
| 3288F |
|
58 |
58 |
$0.00 |
| 1090F |
|
45 |
45 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
50 |
50 |
$0.00 |
| 3017F |
|
91 |
91 |
$0.00 |
| 3352F |
|
13 |
13 |
$0.00 |
| 1111F |
|
106 |
105 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3048F |
|
51 |
50 |
$0.00 |
| 3014F |
|
14 |
14 |
$0.00 |
| 1101F |
|
58 |
58 |
$0.00 |
| 1110F |
|
29 |
29 |
$0.00 |