| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92557 |
|
3,027 |
3,022 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,380 |
3,327 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,148 |
3,835 |
$28K |
| 92587 |
|
3,531 |
3,515 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,085 |
1,084 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
349 |
342 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
903 |
898 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,325 |
2,318 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,739 |
1,685 |
$8K |
| 92567 |
|
595 |
595 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
693 |
691 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
379 |
365 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
429 |
393 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
261 |
255 |
$3K |
| 99442 |
|
433 |
391 |
$2K |
| 83655 |
|
155 |
154 |
$1K |
| 94664 |
|
144 |
139 |
$1K |
| 99401 |
|
4,373 |
4,296 |
$1K |
| 85018 |
|
2,528 |
2,522 |
$938.98 |
| 0011A |
|
25 |
25 |
$814.72 |
| 90473 |
|
183 |
183 |
$683.55 |
| 0012A |
|
18 |
18 |
$643.20 |
| 90686 |
|
1,075 |
1,075 |
$446.09 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,972 |
1,961 |
$250.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$172.20 |
| 94760 |
|
2,496 |
2,408 |
$134.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
98 |
$119.39 |
| 97802 |
|
4,500 |
4,437 |
$108.15 |
| 90672 |
|
172 |
172 |
$104.97 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
12 |
$27.50 |
| 90674 |
|
44 |
44 |
$20.00 |
| 99443 |
|
717 |
666 |
$19.38 |
| 36415 |
Collection of venous blood by venipuncture |
895 |
891 |
$12.15 |
| 99173 |
|
3,048 |
3,045 |
$11.46 |
| 90633 |
|
122 |
122 |
$10.00 |
| 90461 |
|
231 |
229 |
$0.00 |
| 90670 |
|
117 |
117 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90671 |
|
40 |
40 |
$0.00 |
| 99001 |
|
95 |
94 |
$0.00 |
| 99408 |
|
426 |
421 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
277 |
274 |
$0.00 |
| 90734 |
|
76 |
76 |
$0.00 |
| 99409 |
|
151 |
151 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
331 |
328 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
25 |
25 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
63 |
63 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
50 |
$0.00 |
| 90685 |
|
47 |
47 |
$0.00 |
| 90649 |
|
32 |
32 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,897 |
3,872 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
862 |
857 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
484 |
480 |
$0.00 |
| 36416 |
|
2,497 |
2,492 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
482 |
478 |
$0.00 |
| 99406 |
|
416 |
411 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
160 |
160 |
$0.00 |
| 36410 |
|
245 |
241 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |
| 99441 |
|
20 |
20 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 91301 |
|
24 |
23 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 3008F |
|
34 |
33 |
$0.00 |
| 96112 |
|
16 |
16 |
$0.00 |