| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,381 |
5,608 |
$163K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,004 |
6,759 |
$133K |
| 92587 |
|
5,261 |
5,120 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,747 |
6,082 |
$75K |
| D1206 |
Topical application of fluoride varnish |
2,073 |
2,072 |
$60K |
| 86580 |
|
7,871 |
7,857 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,019 |
3,011 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,362 |
7,295 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,271 |
2,253 |
$31K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
570 |
569 |
$24K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
227 |
227 |
$23K |
| 92567 |
|
1,770 |
1,755 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,220 |
2,215 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,409 |
1,309 |
$22K |
| 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 |
8,068 |
7,943 |
$21K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,804 |
2,801 |
$17K |
| 95930 |
|
289 |
287 |
$12K |
| H0001 |
Alcohol and/or drug assessment |
3,650 |
3,646 |
$11K |
| 99406 |
|
939 |
846 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
754 |
732 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
586 |
586 |
$6K |
| S9451 |
Exercise classes, non-physician provider, per session |
6,546 |
6,533 |
$5K |
| 83655 |
|
565 |
565 |
$4K |
| 90461 |
|
2,349 |
2,277 |
$3K |
| 69210 |
|
55 |
55 |
$2K |
| 86328 |
|
102 |
101 |
$2K |
| 99173 |
|
340 |
340 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,982 |
5,970 |
$2K |
| 90670 |
|
651 |
650 |
$1K |
| 81002 |
|
941 |
935 |
$1K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
118 |
118 |
$647.30 |
| 90734 |
|
253 |
252 |
$425.00 |
| 90686 |
|
2,130 |
2,116 |
$365.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
726 |
722 |
$350.02 |
| 90651 |
|
263 |
263 |
$304.17 |
| 94664 |
|
28 |
24 |
$272.72 |
| 90619 |
|
87 |
87 |
$237.94 |
| 90677 |
|
12 |
12 |
$202.57 |
| 90716 |
|
239 |
239 |
$192.00 |
| 90688 |
|
408 |
407 |
$189.94 |
| 90633 |
|
195 |
195 |
$131.70 |
| 90707 |
|
151 |
151 |
$120.00 |
| 90700 |
|
200 |
200 |
$100.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
674 |
674 |
$90.93 |
| 90744 |
|
150 |
150 |
$50.02 |
| 82465 |
|
1,079 |
1,078 |
$44.48 |
| 90715 |
|
43 |
43 |
$32.84 |
| 90648 |
|
51 |
51 |
$25.00 |
| 90713 |
|
46 |
46 |
$25.00 |
| 90685 |
|
95 |
94 |
$21.81 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,365 |
1,364 |
$0.00 |
| 3016F |
|
977 |
977 |
$0.00 |
| 3078F |
|
966 |
965 |
$0.00 |
| 90681 |
|
16 |
16 |
$0.00 |
| 3008F |
|
4,481 |
4,476 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,884 |
2,880 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
647 |
647 |
$0.00 |
| 1000F |
|
890 |
890 |
$0.00 |
| 1036F |
|
892 |
892 |
$0.00 |
| 90698 |
|
156 |
156 |
$0.00 |
| 86592 |
|
680 |
680 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
741 |
741 |
$0.00 |
| 3074F |
|
965 |
964 |
$0.00 |
| 90680 |
|
146 |
146 |
$0.00 |
| 90656 |
|
95 |
95 |
$0.00 |