| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,999 |
1,728 |
$122K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
817 |
800 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,118 |
1,065 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
415 |
400 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
363 |
356 |
$14K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
697 |
673 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
127 |
125 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
50 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
336 |
202 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
405 |
403 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
456 |
444 |
$4K |
| 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 |
136 |
135 |
$3K |
| 90461 |
|
168 |
162 |
$3K |
| 92551 |
|
431 |
427 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| H0049 |
Alcohol and/or drug screening |
150 |
149 |
$2K |
| 97802 |
|
1,129 |
1,095 |
$2K |
| 87070 |
|
340 |
331 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
778 |
741 |
$754.32 |
| 36406 |
|
86 |
83 |
$661.01 |
| 99173 |
|
368 |
365 |
$540.94 |
| 86580 |
|
88 |
84 |
$470.03 |
| 92588 |
|
24 |
24 |
$444.41 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
48 |
47 |
$199.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$149.95 |
| 81000 |
|
32 |
30 |
$84.71 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
19 |
$58.14 |
| G0009 |
Administration of pneumococcal vaccine |
25 |
25 |
$38.23 |
| 90686 |
|
173 |
173 |
$38.11 |
| 99072 |
|
137 |
128 |
$25.00 |
| 96160 |
|
25 |
25 |
$22.36 |
| 90744 |
|
15 |
14 |
$0.01 |
| 90713 |
|
37 |
37 |
$0.00 |
| 90700 |
|
114 |
112 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 3008F |
|
318 |
309 |
$0.00 |
| 99000 |
|
697 |
658 |
$0.00 |
| 90647 |
|
16 |
15 |
$0.00 |