| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,111 |
23,214 |
$227K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,768 |
16,626 |
$178K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,482 |
7,461 |
$130K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,772 |
12,048 |
$129K |
| 92587 |
|
7,115 |
7,100 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,541 |
6,539 |
$88K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,536 |
5,533 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,878 |
4,869 |
$66K |
| 99401 |
|
16,487 |
16,317 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,267 |
2,215 |
$29K |
| 97802 |
|
18,696 |
18,639 |
$23K |
| 99173 |
|
11,912 |
11,896 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,063 |
3,043 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,459 |
8,375 |
$16K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,206 |
3,204 |
$15K |
| 83655 |
|
1,548 |
1,543 |
$15K |
| 0002A |
|
376 |
375 |
$14K |
| 0001A |
|
387 |
380 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,088 |
1,087 |
$14K |
| 90620 |
|
1,495 |
1,494 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
677 |
676 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,104 |
2,968 |
$10K |
| 0071A |
|
251 |
247 |
$9K |
| 0072A |
|
242 |
240 |
$8K |
| 99441 |
|
1,214 |
1,160 |
$7K |
| 90686 |
|
6,975 |
6,967 |
$7K |
| 85018 |
|
3,801 |
3,788 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
203 |
202 |
$5K |
| 96127 |
|
6,720 |
6,718 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,424 |
6,423 |
$5K |
| S9452 |
Nutrition classes, non-physician provider, per session |
534 |
534 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
245 |
238 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
10,506 |
10,172 |
$4K |
| 99442 |
|
335 |
328 |
$3K |
| 96160 |
|
5,293 |
5,256 |
$3K |
| 90651 |
|
1,975 |
1,975 |
$2K |
| 90473 |
|
784 |
784 |
$2K |
| 36416 |
|
4,329 |
4,311 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
191 |
189 |
$1K |
| 90670 |
|
1,265 |
1,265 |
$1K |
| 87428 |
|
29 |
29 |
$1K |
| 90734 |
|
1,043 |
1,043 |
$1K |
| 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 |
3,925 |
3,904 |
$612.22 |
| 90633 |
|
1,577 |
1,575 |
$582.72 |
| 90677 |
|
272 |
272 |
$462.11 |
| 90715 |
|
572 |
572 |
$429.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$350.95 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$342.16 |
| 87110 |
|
1,248 |
1,243 |
$340.38 |
| 94664 |
|
186 |
180 |
$334.73 |
| G9818 |
Documentation of sexual activity |
4,021 |
4,019 |
$262.00 |
| 86580 |
|
31 |
31 |
$224.27 |
| 99406 |
|
1,221 |
1,221 |
$214.53 |
| 90674 |
|
128 |
128 |
$203.88 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
3,564 |
3,536 |
$186.50 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
5,514 |
5,513 |
$151.50 |
| S9451 |
Exercise classes, non-physician provider, per session |
14,663 |
14,654 |
$132.51 |
| 90716 |
|
163 |
161 |
$126.00 |
| 99382 |
|
12 |
12 |
$122.28 |
| H0001 |
Alcohol and/or drug assessment |
2,217 |
2,216 |
$108.07 |
| 81025 |
|
131 |
130 |
$105.65 |
| 90744 |
|
308 |
308 |
$97.01 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
208 |
202 |
$87.45 |
| 90707 |
|
129 |
129 |
$87.07 |
| 94760 |
|
237 |
229 |
$62.30 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,104 |
1,104 |
$49.72 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,158 |
1,158 |
$40.00 |
| 90672 |
|
25 |
25 |
$26.88 |
| 81002 |
|
15 |
14 |
$16.00 |
| 90710 |
|
494 |
494 |
$15.00 |
| 90696 |
|
226 |
226 |
$15.00 |
| 90698 |
|
893 |
892 |
$15.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$14.65 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
31 |
31 |
$4.22 |
| 3008F |
|
14,473 |
14,326 |
$2.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,705 |
3,701 |
$2.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,332 |
6,330 |
$2.00 |
| 91307 |
|
488 |
459 |
$1.64 |
| 3016F |
|
3,401 |
3,401 |
$0.00 |
| 99408 |
|
1,157 |
1,157 |
$0.00 |
| 1159F |
|
3,040 |
3,015 |
$0.00 |
| 3725F |
|
4,777 |
4,775 |
$0.00 |
| 90671 |
|
184 |
184 |
$0.00 |
| 1160F |
|
3,041 |
3,017 |
$0.00 |
| 91300 |
|
748 |
686 |
$0.00 |
| 90685 |
|
159 |
159 |
$0.00 |
| 90661 |
|
21 |
21 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90700 |
|
40 |
40 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
13 |
13 |
$0.00 |
| 90680 |
|
876 |
876 |
$0.00 |
| 1036F |
|
2,462 |
2,462 |
$0.00 |
| 1000F |
|
3,207 |
3,207 |
$0.00 |
| 2001F |
|
3,078 |
3,048 |
$0.00 |
| 2010F |
|
3,079 |
3,049 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,877 |
1,876 |
$0.00 |
| 36406 |
|
12 |
12 |
$0.00 |
| 90619 |
|
527 |
527 |
$0.00 |
| 90697 |
|
307 |
307 |
$0.00 |
| 90656 |
|
100 |
100 |
$0.00 |
| 90647 |
|
104 |
104 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |