| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,219 |
17,501 |
$1.49M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,784 |
2,643 |
$77K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
617 |
617 |
$58K |
| 92552 |
|
2,026 |
2,024 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
633 |
631 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
544 |
540 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
319 |
317 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
139 |
139 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
6,853 |
6,680 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
255 |
233 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
588 |
575 |
$9K |
| 99401 |
|
340 |
338 |
$8K |
| 92081 |
|
267 |
266 |
$8K |
| 90688 |
|
308 |
306 |
$6K |
| 99173 |
|
1,460 |
1,459 |
$6K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
320 |
319 |
$5K |
| 86328 |
|
104 |
104 |
$4K |
| 99072 |
|
8,612 |
7,361 |
$4K |
| 90686 |
|
591 |
591 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
38 |
37 |
$1K |
| 90461 |
|
42 |
38 |
$1K |
| 90746 |
|
19 |
18 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
351 |
350 |
$1K |
| 86413 |
|
94 |
94 |
$863.80 |
| 93000 |
|
49 |
48 |
$812.53 |
| 87110 |
|
106 |
106 |
$793.30 |
| 90656 |
|
18 |
18 |
$402.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
59 |
$337.80 |
| 96127 |
|
321 |
320 |
$300.34 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
303 |
303 |
$241.51 |
| 97802 |
|
12 |
12 |
$128.20 |
| H0001 |
Alcohol and/or drug assessment |
211 |
211 |
$123.69 |
| 3078F |
|
13 |
13 |
$82.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
16 |
$68.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$23.30 |
| S9451 |
Exercise classes, non-physician provider, per session |
13 |
13 |
$10.50 |
| 1000F |
|
217 |
217 |
$0.00 |
| 3008F |
|
224 |
223 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
39 |
39 |
$0.00 |
| 99429 |
|
14 |
14 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
241 |
240 |
$0.00 |