| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,002 |
31,521 |
$3.70M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,343 |
14,546 |
$404K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,328 |
3,308 |
$396K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,468 |
3,466 |
$378K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,559 |
2,555 |
$274K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,169 |
1,919 |
$214K |
| 92587 |
|
7,304 |
7,268 |
$121K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,993 |
4,985 |
$104K |
| S9449 |
Weight management classes, non-physician provider, per session |
6,864 |
6,852 |
$83K |
| 99051 |
|
12,668 |
11,789 |
$74K |
| S9451 |
Exercise classes, non-physician provider, per session |
6,866 |
6,854 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
483 |
471 |
$62K |
| 90461 |
|
2,208 |
2,140 |
$60K |
| S9452 |
Nutrition classes, non-physician provider, per session |
6,719 |
6,704 |
$57K |
| 97802 |
|
7,486 |
7,436 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
346 |
346 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,835 |
5,796 |
$40K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,587 |
3,558 |
$28K |
| H0001 |
Alcohol and/or drug assessment |
1,364 |
1,361 |
$28K |
| 87490 |
|
2,162 |
2,142 |
$23K |
| 36410 |
|
2,062 |
1,957 |
$16K |
| 99173 |
|
7,438 |
7,400 |
$11K |
| 90677 |
|
63 |
63 |
$11K |
| 92283 |
|
477 |
477 |
$8K |
| G8482 |
Influenza immunization administered or previously received |
5,313 |
4,463 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,559 |
3,496 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$7K |
| 80061 |
Lipid panel |
1,736 |
1,721 |
$7K |
| 36406 |
|
907 |
797 |
$7K |
| 82042 |
|
2,351 |
2,328 |
$7K |
| 0001A |
|
146 |
145 |
$6K |
| 90671 |
|
28 |
28 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
445 |
432 |
$5K |
| 0072A |
|
122 |
119 |
$5K |
| 99460 |
|
53 |
52 |
$5K |
| 0002A |
|
114 |
113 |
$5K |
| 90381 |
|
18 |
17 |
$5K |
| 17250 |
|
56 |
41 |
$5K |
| S9470 |
Nutritional counseling, dietitian visit |
6,553 |
6,534 |
$5K |
| 99499 |
|
1,435 |
1,426 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
39 |
38 |
$4K |
| 0071A |
|
91 |
91 |
$4K |
| 90686 |
|
4,079 |
4,076 |
$3K |
| 90619 |
|
286 |
286 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,220 |
1,205 |
$3K |
| 0004A |
|
53 |
53 |
$2K |
| 99072 |
|
441 |
426 |
$2K |
| 86580 |
|
155 |
150 |
$1K |
| 90620 |
|
278 |
277 |
$1K |
| 69210 |
|
42 |
42 |
$982.99 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$857.51 |
| 94664 |
|
45 |
42 |
$812.21 |
| 0081A |
|
16 |
16 |
$651.09 |
| 0082A |
|
16 |
16 |
$648.36 |
| 90651 |
|
490 |
490 |
$610.43 |
| 90744 |
|
1,547 |
1,546 |
$551.88 |
| 96160 |
|
259 |
252 |
$498.79 |
| 90670 |
|
756 |
754 |
$497.76 |
| 83655 |
|
51 |
51 |
$471.15 |
| G8484 |
Influenza immunization was not administered, reason not given |
159 |
145 |
$427.50 |
| 91307 |
|
139 |
128 |
$411.51 |
| 96381 |
|
20 |
20 |
$401.27 |
| 90715 |
|
109 |
109 |
$340.57 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
178 |
159 |
$310.00 |
| 90685 |
|
127 |
127 |
$87.24 |
| 90633 |
|
154 |
154 |
$75.00 |
| 90672 |
|
932 |
931 |
$57.13 |
| 90710 |
|
31 |
31 |
$35.70 |
| 99000 |
|
5,259 |
4,971 |
$32.48 |
| 3074F |
|
51 |
51 |
$30.00 |
| 3078F |
|
51 |
51 |
$30.00 |
| 91308 |
|
48 |
43 |
$8.10 |
| 91305 |
|
19 |
19 |
$4.50 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
45 |
42 |
$2.23 |
| 91300 |
|
196 |
174 |
$0.43 |
| 90698 |
|
441 |
438 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90680 |
|
405 |
403 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
135 |
91 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90734 |
|
230 |
230 |
$0.00 |
| 99080 |
|
232 |
55 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
74 |
73 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
175 |
131 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |