| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,516 |
3,472 |
$63K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,964 |
3,945 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,867 |
2,678 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,954 |
3,707 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
669 |
666 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,065 |
1,065 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,105 |
1,097 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,176 |
1,174 |
$13K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,157 |
1,156 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
798 |
793 |
$11K |
| 99173 |
|
2,973 |
2,969 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
442 |
423 |
$7K |
| 92551 |
|
3,461 |
3,457 |
$6K |
| 97802 |
|
1,805 |
1,798 |
$4K |
| 90686 |
|
2,435 |
2,430 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
97 |
$3K |
| 0072A |
|
42 |
41 |
$1K |
| 0001A |
|
33 |
33 |
$1K |
| 99441 |
|
182 |
172 |
$1K |
| 0071A |
|
34 |
34 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
103 |
103 |
$1K |
| 0002A |
|
14 |
14 |
$593.12 |
| H0001 |
Alcohol and/or drug assessment |
1,579 |
1,577 |
$516.19 |
| 86580 |
|
53 |
53 |
$433.08 |
| 99442 |
|
607 |
584 |
$275.65 |
| 99406 |
|
38 |
38 |
$160.00 |
| 3016F |
|
1,326 |
1,325 |
$25.00 |
| 90633 |
|
52 |
52 |
$10.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$5.52 |
| 3008F |
|
3,071 |
3,068 |
$0.06 |
| 83655 |
|
115 |
115 |
$0.05 |
| 87081 |
|
145 |
144 |
$0.05 |
| 91300 |
|
88 |
82 |
$0.02 |
| 3725F |
|
1,322 |
1,321 |
$0.00 |
| 1033F |
|
455 |
455 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,369 |
1,366 |
$0.00 |
| 90670 |
|
39 |
38 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
75 |
74 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 90685 |
|
54 |
54 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 91307 |
|
78 |
74 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,222 |
1,221 |
$0.00 |
| 90620 |
|
54 |
54 |
$0.00 |
| 1000F |
|
1,329 |
1,328 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
73 |
72 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,190 |
1,189 |
$0.00 |
| 1036F |
|
862 |
861 |
$0.00 |
| 90716 |
|
40 |
40 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 90651 |
|
49 |
49 |
$0.00 |