| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,172 |
6,387 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,555 |
5,479 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,089 |
3,028 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,980 |
1,948 |
$14K |
| 99401 |
|
8,090 |
7,906 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,091 |
2,031 |
$7K |
| 92587 |
|
3,713 |
3,713 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,142 |
1,138 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
929 |
889 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,368 |
1,366 |
$2K |
| 90658 |
|
75 |
75 |
$890.25 |
| 99173 |
|
2,398 |
2,397 |
$782.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
180 |
178 |
$713.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
277 |
276 |
$637.55 |
| 86580 |
|
491 |
489 |
$473.48 |
| 36415 |
Collection of venous blood by venipuncture |
4,867 |
4,866 |
$443.06 |
| 90688 |
|
2,644 |
2,644 |
$298.64 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
105 |
$207.36 |
| H0001 |
Alcohol and/or drug assessment |
816 |
814 |
$207.03 |
| 90461 |
|
920 |
917 |
$101.96 |
| 96127 |
|
579 |
579 |
$82.51 |
| 85018 |
|
79 |
79 |
$81.96 |
| A4930 |
Gloves, sterile, per pair |
1,714 |
1,668 |
$58.52 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
540 |
539 |
$10.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
712 |
710 |
$10.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,021 |
6,220 |
$10.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
276 |
274 |
$2.85 |
| A4258 |
Spring-powered device for lancet, each |
41 |
41 |
$2.00 |
| 3016F |
|
343 |
341 |
$0.00 |
| 90648 |
|
66 |
66 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
591 |
585 |
$0.00 |
| 90633 |
|
107 |
107 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
424 |
420 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
61 |
$0.00 |
| 3725F |
|
738 |
736 |
$0.00 |
| 90734 |
|
74 |
74 |
$0.00 |
| 90670 |
|
92 |
91 |
$0.00 |
| 1160F |
|
240 |
206 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 2001F |
|
1,519 |
1,508 |
$0.00 |
| 2010F |
|
2,115 |
2,099 |
$0.00 |
| 1036F |
|
721 |
719 |
$0.00 |
| 99000 |
|
674 |
669 |
$0.00 |
| 87110 |
|
16 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,143 |
2,132 |
$0.00 |
| 3008F |
|
2,466 |
2,437 |
$0.00 |
| 2000F |
|
1,362 |
1,351 |
$0.00 |
| 97802 |
|
2,077 |
2,025 |
$0.00 |
| 36416 |
|
28 |
28 |
$0.00 |
| 90651 |
|
71 |
71 |
$0.00 |
| 1000F |
|
592 |
590 |
$0.00 |
| 90686 |
|
110 |
110 |
$0.00 |
| 99441 |
|
15 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
51 |
51 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |