| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,547 |
26,362 |
$154K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,223 |
12,067 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,399 |
6,737 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,560 |
4,537 |
$32K |
| 99401 |
|
17,885 |
15,576 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,862 |
4,842 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,183 |
4,049 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,893 |
2,863 |
$18K |
| 92587 |
|
12,153 |
12,115 |
$17K |
| 90461 |
|
2,931 |
2,922 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
849 |
845 |
$7K |
| 99441 |
|
3,363 |
3,300 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,991 |
3,923 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
425 |
413 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
6,001 |
5,884 |
$3K |
| 99173 |
|
6,985 |
6,976 |
$3K |
| 0071A |
|
72 |
72 |
$3K |
| 0072A |
|
71 |
71 |
$3K |
| 90686 |
|
2,942 |
2,933 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,695 |
4,535 |
$2K |
| 81002 |
|
12,046 |
11,831 |
$2K |
| 99442 |
|
278 |
259 |
$1K |
| 91307 |
|
54 |
50 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
15,951 |
15,141 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
159 |
$812.00 |
| 0001A |
|
19 |
18 |
$440.00 |
| 90651 |
|
548 |
547 |
$402.01 |
| 90620 |
|
573 |
573 |
$335.70 |
| A4930 |
Gloves, sterile, per pair |
16,013 |
14,971 |
$307.13 |
| 90688 |
|
415 |
415 |
$299.25 |
| 85018 |
|
299 |
298 |
$284.96 |
| S9451 |
Exercise classes, non-physician provider, per session |
204 |
198 |
$240.00 |
| 90734 |
|
471 |
470 |
$157.26 |
| 90633 |
|
178 |
178 |
$129.25 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
9,249 |
9,118 |
$118.86 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
4,494 |
4,366 |
$87.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$70.70 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
28,840 |
24,639 |
$50.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
54 |
$47.10 |
| 36416 |
|
222 |
221 |
$30.00 |
| 90680 |
|
28 |
28 |
$30.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
20,425 |
19,611 |
$28.00 |
| A4927 |
Gloves, non-sterile, per 100 |
86 |
86 |
$22.55 |
| 90670 |
|
253 |
252 |
$15.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,347 |
4,206 |
$8.14 |
| 3048F |
|
1,841 |
1,807 |
$0.03 |
| 1160F |
|
269 |
226 |
$0.01 |
| 3016F |
|
3,492 |
3,353 |
$0.00 |
| 3725F |
|
3,985 |
3,821 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
223 |
218 |
$0.00 |
| 90671 |
|
44 |
44 |
$0.00 |
| 1159F |
|
225 |
223 |
$0.00 |
| 99499 |
|
515 |
492 |
$0.00 |
| 90715 |
|
36 |
36 |
$0.00 |
| 0002A |
|
18 |
18 |
$0.00 |
| 91300 |
|
19 |
15 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 99000 |
|
13,476 |
12,578 |
$0.00 |
| 4037F |
|
3,585 |
3,547 |
$0.00 |
| 3008F |
|
8,365 |
8,172 |
$0.00 |
| 1036F |
|
3,493 |
3,353 |
$0.00 |
| 1030F |
|
3,589 |
3,551 |
$0.00 |
| 1000F |
|
3,774 |
3,630 |
$0.00 |
| 2010F |
|
6,466 |
6,314 |
$0.00 |
| 90656 |
|
134 |
134 |
$0.00 |
| 3049F |
|
304 |
297 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
16 |
16 |
$0.00 |