| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,496 |
5,157 |
$297K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,148 |
4,747 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,463 |
1,462 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,177 |
1,176 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,154 |
1,153 |
$74K |
| 99401 |
|
3,038 |
2,815 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
518 |
511 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
427 |
$33K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,045 |
1,041 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
184 |
$11K |
| 92587 |
|
493 |
492 |
$10K |
| 97802 |
|
1,084 |
1,078 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
138 |
$5K |
| 96127 |
|
1,348 |
1,346 |
$4K |
| 0072A |
|
72 |
72 |
$3K |
| 0071A |
|
62 |
62 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,391 |
1,391 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
349 |
345 |
$2K |
| 90686 |
|
945 |
942 |
$2K |
| 0001A |
|
47 |
47 |
$2K |
| 99173 |
|
763 |
762 |
$1K |
| 0124A |
|
32 |
32 |
$1K |
| H0049 |
Alcohol and/or drug screening |
85 |
85 |
$1K |
| 0002A |
|
34 |
34 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
237 |
236 |
$1K |
| 90620 |
|
68 |
68 |
$802.39 |
| 90461 |
|
32 |
29 |
$748.66 |
| 99406 |
|
151 |
150 |
$629.74 |
| 92551 |
|
81 |
81 |
$541.70 |
| 90670 |
|
333 |
333 |
$400.00 |
| 90715 |
|
85 |
85 |
$396.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$312.83 |
| 99408 |
|
87 |
85 |
$301.22 |
| 90672 |
|
197 |
197 |
$229.16 |
| 87110 |
|
69 |
69 |
$212.64 |
| 90651 |
|
184 |
184 |
$194.09 |
| 90734 |
|
70 |
70 |
$177.98 |
| 90716 |
|
114 |
113 |
$143.02 |
| 90700 |
|
583 |
583 |
$100.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,089 |
1,089 |
$60.00 |
| 90707 |
|
72 |
72 |
$56.00 |
| 90648 |
|
214 |
214 |
$50.00 |
| 96161 |
|
43 |
40 |
$35.17 |
| H0001 |
Alcohol and/or drug assessment |
79 |
79 |
$29.49 |
| 90633 |
|
134 |
134 |
$24.00 |
| 90685 |
|
167 |
166 |
$20.34 |
| 91300 |
|
161 |
146 |
$0.06 |
| 91312 |
|
20 |
20 |
$0.01 |
| 3725F |
|
634 |
634 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
78 |
78 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 90713 |
|
355 |
355 |
$0.00 |
| 3016F |
|
43 |
43 |
$0.00 |
| 1000F |
|
530 |
530 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
33 |
33 |
$0.00 |
| 1036F |
|
528 |
528 |
$0.00 |
| 91307 |
|
155 |
136 |
$0.00 |
| 3008F |
|
23 |
23 |
$0.00 |
| 90680 |
|
41 |
41 |
$0.00 |
| 90744 |
|
46 |
46 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |