| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18,318 |
18,191 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,121 |
25,968 |
$188K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,562 |
14,696 |
$146K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,968 |
6,935 |
$124K |
| 92587 |
|
7,948 |
7,933 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,883 |
6,875 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,730 |
4,721 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,966 |
4,963 |
$64K |
| 99401 |
|
17,269 |
17,050 |
$59K |
| 97802 |
|
19,259 |
19,154 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,378 |
1,365 |
$22K |
| 99173 |
|
11,113 |
11,094 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,368 |
1,325 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,044 |
7,940 |
$17K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,012 |
3,011 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,370 |
4,148 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,354 |
1,337 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
851 |
851 |
$13K |
| 0001A |
|
330 |
329 |
$13K |
| 0071A |
|
343 |
343 |
$12K |
| 83655 |
|
1,078 |
1,077 |
$12K |
| 0002A |
|
291 |
291 |
$11K |
| 0072A |
|
308 |
306 |
$10K |
| 90686 |
|
8,231 |
8,208 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
609 |
602 |
$6K |
| 90620 |
|
876 |
876 |
$5K |
| 85018 |
|
3,149 |
3,144 |
$5K |
| 96160 |
|
5,860 |
5,802 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
11,872 |
11,420 |
$4K |
| 96127 |
|
6,645 |
6,642 |
$4K |
| 90670 |
|
679 |
675 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
85 |
$3K |
| 99441 |
|
700 |
675 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
98 |
$3K |
| S9452 |
Nutrition classes, non-physician provider, per session |
309 |
309 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,650 |
5,644 |
$2K |
| 90473 |
|
286 |
286 |
$2K |
| 36416 |
|
3,533 |
3,526 |
$2K |
| 90651 |
|
1,019 |
1,018 |
$2K |
| 99442 |
|
81 |
81 |
$2K |
| 87428 |
|
15 |
15 |
$730.94 |
| 90734 |
|
607 |
606 |
$637.83 |
| 87110 |
|
499 |
494 |
$517.73 |
| 0053A |
|
13 |
13 |
$516.81 |
| H0001 |
Alcohol and/or drug assessment |
1,883 |
1,882 |
$358.00 |
| G9818 |
Documentation of sexual activity |
3,359 |
3,358 |
$355.00 |
| 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 |
3,533 |
3,510 |
$281.09 |
| 90656 |
|
183 |
183 |
$273.24 |
| 90674 |
|
384 |
384 |
$260.85 |
| S9451 |
Exercise classes, non-physician provider, per session |
16,260 |
16,180 |
$247.51 |
| 90633 |
|
603 |
602 |
$219.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,752 |
4,748 |
$215.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,837 |
1,828 |
$115.00 |
| 90744 |
|
55 |
55 |
$107.60 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
890 |
890 |
$64.92 |
| 99188 |
|
12 |
12 |
$60.00 |
| 99406 |
|
1,018 |
1,018 |
$57.64 |
| 90716 |
|
12 |
12 |
$48.00 |
| 90715 |
|
108 |
108 |
$44.61 |
| 90698 |
|
498 |
496 |
$30.00 |
| 90672 |
|
79 |
76 |
$26.88 |
| 81025 |
|
15 |
15 |
$25.50 |
| H0049 |
Alcohol and/or drug screening |
1,855 |
1,851 |
$24.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
12 |
$14.50 |
| 91307 |
|
685 |
651 |
$2.63 |
| 91305 |
|
15 |
15 |
$0.10 |
| 3008F |
|
19,731 |
19,257 |
$0.07 |
| 91300 |
|
619 |
568 |
$0.01 |
| 3016F |
|
3,466 |
3,464 |
$0.00 |
| 1159F |
|
3,590 |
3,552 |
$0.00 |
| 1160F |
|
3,592 |
3,554 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,963 |
1,960 |
$0.00 |
| 3725F |
|
4,949 |
4,942 |
$0.00 |
| 99408 |
|
935 |
935 |
$0.00 |
| 99499 |
|
70 |
70 |
$0.00 |
| 90685 |
|
69 |
69 |
$0.00 |
| 90661 |
|
15 |
15 |
$0.00 |
| 90671 |
|
46 |
46 |
$0.00 |
| 90710 |
|
88 |
88 |
$0.00 |
| 2010F |
|
3,616 |
3,573 |
$0.00 |
| 1000F |
|
3,160 |
3,158 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,643 |
6,636 |
$0.00 |
| 2001F |
|
3,616 |
3,573 |
$0.00 |
| 1036F |
|
2,378 |
2,376 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
925 |
925 |
$0.00 |
| 90697 |
|
81 |
81 |
$0.00 |
| 90677 |
|
166 |
166 |
$0.00 |
| 90619 |
|
156 |
156 |
$0.00 |
| 90680 |
|
239 |
238 |
$0.00 |
| 90696 |
|
65 |
65 |
$0.00 |