| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99441 |
|
1,053 |
957 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,206 |
3,634 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,585 |
1,577 |
$12K |
| 99442 |
|
183 |
172 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
594 |
592 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
377 |
373 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
349 |
347 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
126 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
402 |
398 |
$1K |
| 85018 |
|
419 |
418 |
$870.70 |
| 90619 |
|
46 |
46 |
$600.00 |
| 99401 |
|
2,179 |
2,159 |
$598.44 |
| 90461 |
|
496 |
495 |
$585.84 |
| 92587 |
|
493 |
493 |
$582.25 |
| 99173 |
|
1,155 |
1,155 |
$408.30 |
| 96127 |
|
475 |
474 |
$230.79 |
| 96160 |
|
76 |
67 |
$100.00 |
| 90656 |
|
131 |
131 |
$80.00 |
| 99406 |
|
29 |
29 |
$55.76 |
| 90686 |
|
490 |
490 |
$22.35 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,451 |
1,449 |
$12.70 |
| 81002 |
|
624 |
622 |
$12.44 |
| 87110 |
|
144 |
144 |
$1.32 |
| H0001 |
Alcohol and/or drug assessment |
426 |
426 |
$0.50 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
426 |
426 |
$0.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
995 |
983 |
$0.09 |
| 97802 |
|
1,306 |
1,304 |
$0.02 |
| 3210F |
|
98 |
98 |
$0.00 |
| 3016F |
|
426 |
426 |
$0.00 |
| 3725F |
|
434 |
433 |
$0.00 |
| 90671 |
|
25 |
25 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$0.00 |
| 3008F |
|
4,446 |
3,967 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
875 |
857 |
$0.00 |
| 99000 |
|
1,131 |
1,102 |
$0.00 |
| 36416 |
|
534 |
533 |
$0.00 |
| 1036F |
|
427 |
427 |
$0.00 |
| 2010F |
|
3,184 |
3,006 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
1,306 |
1,270 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
441 |
441 |
$0.00 |
| 1000F |
|
426 |
426 |
$0.00 |
| 99429 |
|
14 |
14 |
$0.00 |
| 90651 |
|
47 |
47 |
$0.00 |
| 90688 |
|
52 |
52 |
$0.00 |
| 2016F |
|
16 |
14 |
$0.00 |
| 1005F |
|
16 |
14 |
$0.00 |
| 90674 |
|
19 |
19 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
12 |
12 |
$0.00 |