| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,665 |
2,645 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,010 |
2,005 |
$56K |
| G9920 |
Screening performed and negative |
4,520 |
4,492 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,733 |
1,729 |
$40K |
| 92552 |
|
5,456 |
5,440 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,116 |
8,377 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,285 |
2,253 |
$24K |
| 99383 |
|
282 |
275 |
$17K |
| 99384 |
|
187 |
186 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,578 |
4,509 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
380 |
379 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,206 |
2,171 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
776 |
774 |
$5K |
| 90686 |
|
828 |
822 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
85 |
$4K |
| 90651 |
|
560 |
559 |
$4K |
| 99382 |
|
55 |
49 |
$4K |
| 0124A |
|
85 |
85 |
$3K |
| 92551 |
|
309 |
309 |
$3K |
| 99173 |
|
4,652 |
4,638 |
$3K |
| 0072A |
|
68 |
68 |
$3K |
| 0071A |
|
66 |
66 |
$2K |
| 90734 |
|
527 |
526 |
$2K |
| 90688 |
|
430 |
428 |
$2K |
| 0001A |
|
49 |
48 |
$2K |
| 90715 |
|
374 |
372 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$1K |
| 0003A |
|
26 |
26 |
$1K |
| 90670 |
|
171 |
170 |
$993.85 |
| 90716 |
|
108 |
108 |
$722.00 |
| 90633 |
|
100 |
98 |
$598.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
71 |
70 |
$553.24 |
| 85014 |
|
328 |
327 |
$551.67 |
| 0002A |
|
12 |
12 |
$480.00 |
| 90707 |
|
66 |
64 |
$470.00 |
| 90723 |
|
64 |
64 |
$377.75 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,376 |
6,966 |
$289.39 |
| 90649 |
|
30 |
30 |
$243.00 |
| 85018 |
|
121 |
94 |
$236.17 |
| 3008F |
|
8,826 |
8,295 |
$213.00 |
| 90620 |
|
48 |
47 |
$198.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
50 |
$150.00 |
| 90700 |
|
28 |
28 |
$139.00 |
| 90713 |
|
30 |
30 |
$129.00 |
| 81003 |
|
102 |
61 |
$128.77 |
| 99215 |
Prolong outpt/office vis |
31 |
31 |
$122.34 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
485 |
478 |
$120.00 |
| 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 |
7,789 |
7,325 |
$119.00 |
| 81000 |
|
44 |
44 |
$73.56 |
| 90648 |
|
17 |
17 |
$73.00 |
| 83026 |
|
92 |
92 |
$27.03 |
| 90680 |
|
12 |
12 |
$18.00 |
| 96127 |
|
162 |
162 |
$9.62 |
| 83655 |
|
12 |
12 |
$7.66 |
| 3074F |
|
5,626 |
5,285 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
987 |
933 |
$0.00 |
| 3079F |
|
880 |
840 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$0.00 |
| 3075F |
|
520 |
507 |
$0.00 |
| 3080F |
|
104 |
101 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 1000F |
|
62 |
61 |
$0.00 |
| 1036F |
|
57 |
57 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
34 |
34 |
$0.00 |
| 97802 |
|
28 |
28 |
$0.00 |
| 92082 |
|
13 |
13 |
$0.00 |
| 99441 |
|
58 |
57 |
$0.00 |
| 3078F |
|
5,589 |
5,252 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,483 |
1,376 |
$0.00 |
| 3725F |
|
1,288 |
1,283 |
$0.00 |
| 3077F |
|
397 |
377 |
$0.00 |
| 99401 |
|
778 |
731 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
12 |
12 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
30 |
30 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |
| 99442 |
|
23 |
20 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$0.00 |