| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,632 |
6,568 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,337 |
5,886 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,835 |
2,826 |
$58K |
| 92587 |
|
5,399 |
5,395 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
955 |
886 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,695 |
2,691 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,955 |
1,951 |
$42K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,522 |
3,517 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,724 |
1,703 |
$26K |
| 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 |
3,517 |
3,512 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
920 |
893 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,988 |
1,953 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,689 |
1,688 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,097 |
1,082 |
$5K |
| 92552 |
|
372 |
372 |
$4K |
| 99383 |
|
88 |
87 |
$2K |
| 0071A |
|
38 |
38 |
$2K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,662 |
5,357 |
$1K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,007 |
2,006 |
$1K |
| 0072A |
|
29 |
29 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
2,211 |
2,209 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$1K |
| 92567 |
|
112 |
112 |
$994.20 |
| 99382 |
|
26 |
26 |
$662.49 |
| 90461 |
|
1,944 |
1,937 |
$638.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
2,235 |
2,233 |
$593.75 |
| 90651 |
|
686 |
685 |
$504.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
197 |
195 |
$408.09 |
| 36415 |
Collection of venous blood by venipuncture |
7,747 |
7,630 |
$296.60 |
| 90716 |
|
265 |
265 |
$289.30 |
| 99495 |
|
23 |
23 |
$200.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$199.48 |
| 86580 |
|
20 |
20 |
$178.20 |
| 90715 |
|
183 |
183 |
$157.65 |
| 99173 |
|
3,526 |
3,520 |
$154.97 |
| 90620 |
|
258 |
258 |
$152.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,734 |
2,730 |
$135.00 |
| 87430 |
|
68 |
67 |
$98.04 |
| 99381 |
|
15 |
15 |
$85.78 |
| 90688 |
|
88 |
88 |
$85.40 |
| 90674 |
|
85 |
85 |
$54.54 |
| 90686 |
|
2,578 |
2,574 |
$40.55 |
| 90633 |
|
903 |
902 |
$35.28 |
| 90744 |
|
110 |
110 |
$25.34 |
| 3078F |
|
1,368 |
1,364 |
$25.00 |
| 3074F |
|
1,372 |
1,368 |
$25.00 |
| 87400 |
|
64 |
62 |
$18.65 |
| 83655 |
|
2,949 |
2,947 |
$14.20 |
| 99000 |
|
7,063 |
6,948 |
$5.09 |
| 91307 |
|
49 |
41 |
$0.03 |
| 90713 |
|
27 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,339 |
5,120 |
$0.00 |
| 90671 |
|
277 |
275 |
$0.00 |
| 90710 |
|
152 |
152 |
$0.00 |
| 90670 |
|
699 |
699 |
$0.00 |
| 90648 |
|
321 |
321 |
$0.00 |
| 90734 |
|
201 |
201 |
$0.00 |
| 3725F |
|
76 |
76 |
$0.00 |
| 3016F |
|
125 |
125 |
$0.00 |
| 90707 |
|
93 |
93 |
$0.00 |
| 90700 |
|
41 |
41 |
$0.00 |
| 90685 |
|
62 |
62 |
$0.00 |
| 90681 |
|
51 |
51 |
$0.00 |
| 3008F |
|
3,303 |
3,193 |
$0.00 |
| 90619 |
|
239 |
239 |
$0.00 |
| 1000F |
|
180 |
179 |
$0.00 |
| 90698 |
|
242 |
242 |
$0.00 |
| 36406 |
|
28 |
28 |
$0.00 |
| 90723 |
|
69 |
69 |
$0.00 |
| 1036F |
|
94 |
94 |
$0.00 |
| 90696 |
|
78 |
78 |
$0.00 |