| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,025 |
20,836 |
$515K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,672 |
23,227 |
$333K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12,554 |
12,533 |
$185K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,164 |
14,537 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,334 |
7,332 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,435 |
6,427 |
$106K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,938 |
5,929 |
$100K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27,991 |
25,943 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,985 |
3,932 |
$59K |
| 97802 |
|
24,261 |
24,200 |
$58K |
| 99173 |
|
6,480 |
6,468 |
$44K |
| 92551 |
|
20,471 |
20,461 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,256 |
2,255 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,837 |
12,820 |
$37K |
| H0049 |
Alcohol and/or drug screening |
8,827 |
8,820 |
$31K |
| 90461 |
|
7,153 |
7,134 |
$29K |
| 99177 |
|
11,949 |
11,946 |
$29K |
| 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 |
7,353 |
7,336 |
$20K |
| 99401 |
|
2,048 |
2,044 |
$18K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,639 |
6,614 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
26,263 |
25,569 |
$16K |
| 0002A |
|
377 |
377 |
$14K |
| 0001A |
|
342 |
341 |
$13K |
| 83655 |
|
4,144 |
4,140 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,597 |
7,583 |
$9K |
| 0071A |
|
235 |
234 |
$8K |
| 81000 |
|
9,987 |
9,653 |
$8K |
| 99381 |
|
290 |
289 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,325 |
5,307 |
$7K |
| 0072A |
|
187 |
187 |
$6K |
| S9470 |
Nutritional counseling, dietitian visit |
7,328 |
7,313 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
455 |
452 |
$4K |
| 90670 |
|
2,692 |
2,687 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
3,476 |
3,470 |
$3K |
| S9451 |
Exercise classes, non-physician provider, per session |
19,283 |
19,250 |
$3K |
| 92558 |
|
1,428 |
1,427 |
$2K |
| 85018 |
|
1,301 |
1,298 |
$2K |
| 90734 |
|
1,614 |
1,613 |
$2K |
| S9452 |
Nutrition classes, non-physician provider, per session |
3,133 |
3,126 |
$2K |
| 86580 |
|
207 |
204 |
$2K |
| 90686 |
|
5,689 |
5,684 |
$1K |
| 4293F |
|
3,764 |
3,760 |
$960.00 |
| 90633 |
|
2,116 |
2,109 |
$867.00 |
| 0003A |
|
27 |
27 |
$862.02 |
| H0033 |
Oral medication administration, direct observation |
860 |
847 |
$850.71 |
| S9449 |
Weight management classes, non-physician provider, per session |
3,150 |
3,143 |
$843.80 |
| 36416 |
|
747 |
745 |
$818.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
7,627 |
7,601 |
$789.38 |
| 90723 |
|
738 |
738 |
$710.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
41 |
39 |
$684.74 |
| 3074F |
|
746 |
746 |
$615.00 |
| 90716 |
|
631 |
629 |
$522.00 |
| 99383 |
|
47 |
47 |
$435.25 |
| 81002 |
|
568 |
559 |
$412.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
40 |
$404.10 |
| 3078F |
|
515 |
515 |
$385.00 |
| 90707 |
|
316 |
315 |
$334.60 |
| 90688 |
|
737 |
736 |
$321.12 |
| 90715 |
|
866 |
866 |
$272.67 |
| 90620 |
|
1,994 |
1,990 |
$241.38 |
| 90648 |
|
309 |
309 |
$200.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
3,106 |
3,097 |
$194.76 |
| 90680 |
|
2,096 |
2,094 |
$140.00 |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
41 |
39 |
$87.08 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
40 |
38 |
$74.24 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12,988 |
12,581 |
$65.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
14 |
$63.90 |
| 90698 |
|
358 |
358 |
$60.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
41 |
39 |
$49.02 |
| G8708 |
Patient not prescribed antibiotic |
1,922 |
1,901 |
$44.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13,327 |
12,911 |
$32.50 |
| 90687 |
|
65 |
65 |
$18.80 |
| 94760 |
|
41 |
39 |
$15.94 |
| 90710 |
|
623 |
623 |
$15.00 |
| 90744 |
|
15 |
15 |
$15.00 |
| 91307 |
|
429 |
393 |
$2.17 |
| 99408 |
|
635 |
634 |
$1.58 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
27 |
25 |
$1.44 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
442 |
441 |
$0.59 |
| 91300 |
|
766 |
678 |
$0.14 |
| 3008F |
|
36,424 |
34,394 |
$0.08 |
| 3725F |
|
6,471 |
6,463 |
$0.00 |
| 1159F |
|
12,288 |
12,267 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
910 |
871 |
$0.00 |
| 3210F |
|
83 |
80 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25 |
25 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,736 |
1,733 |
$0.00 |
| 90756 |
|
236 |
232 |
$0.00 |
| 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) |
532 |
521 |
$0.00 |
| G9434 |
Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given |
88 |
85 |
$0.00 |
| 1039F |
|
14 |
14 |
$0.00 |
| 90685 |
|
33 |
33 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
13 |
13 |
$0.00 |
| 96160 |
|
33 |
33 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 1000F |
|
6,194 |
6,186 |
$0.00 |
| 90677 |
|
562 |
562 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
8,075 |
8,068 |
$0.00 |
| 0001F |
|
15,010 |
14,989 |
$0.00 |
| 1036F |
|
2,472 |
2,458 |
$0.00 |
| 90651 |
|
2,337 |
2,333 |
$0.00 |
| 2015F |
|
63 |
62 |
$0.00 |
| 90619 |
|
156 |
156 |
$0.00 |
| 90696 |
|
507 |
507 |
$0.00 |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
217 |
211 |
$0.00 |
| 1005F |
|
63 |
62 |
$0.00 |
| 90697 |
|
542 |
542 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
57 |
57 |
$0.00 |
| 90647 |
|
79 |
79 |
$0.00 |
| G8710 |
Patient prescribed antibiotic |
50 |
50 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
32 |
$0.00 |
| 2016F |
|
63 |
62 |
$0.00 |
| 90674 |
|
53 |
53 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
107 |
103 |
$0.00 |
| 4450F |
|
63 |
62 |
$0.00 |
| 2010F |
|
12 |
12 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
14 |
12 |
$0.00 |