| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,733 |
8,754 |
$385K |
| 92587 |
|
7,657 |
7,635 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,049 |
9,296 |
$122K |
| 92557 |
|
9,018 |
7,981 |
$96K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,126 |
6,103 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,651 |
3,641 |
$64K |
| 99401 |
|
11,738 |
11,518 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,121 |
3,100 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,557 |
2,547 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,718 |
4,582 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,869 |
1,816 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,433 |
2,181 |
$33K |
| 99173 |
|
6,215 |
6,204 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,301 |
1,281 |
$21K |
| 97802 |
|
11,341 |
11,198 |
$18K |
| 99442 |
|
996 |
914 |
$15K |
| 83655 |
|
1,104 |
1,092 |
$12K |
| 90473 |
|
854 |
853 |
$11K |
| 85018 |
|
5,615 |
5,590 |
$11K |
| 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 |
7,217 |
7,188 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
359 |
356 |
$7K |
| 99443 |
|
1,015 |
945 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
333 |
325 |
$6K |
| 92567 |
|
2,232 |
2,230 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
221 |
208 |
$6K |
| 90670 |
|
1,406 |
1,402 |
$6K |
| 99496 |
|
97 |
96 |
$5K |
| 94664 |
|
1,739 |
1,710 |
$5K |
| 99406 |
|
1,903 |
1,891 |
$5K |
| 90649 |
|
684 |
684 |
$5K |
| 36416 |
|
6,436 |
6,414 |
$4K |
| 90686 |
|
3,198 |
3,192 |
$4K |
| 36410 |
|
1,095 |
1,076 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,062 |
3,048 |
$3K |
| H0049 |
Alcohol and/or drug screening |
261 |
261 |
$2K |
| S9449 |
Weight management classes, non-physician provider, per session |
473 |
473 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
837 |
473 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
886 |
855 |
$2K |
| 90620 |
|
287 |
287 |
$2K |
| 90734 |
|
679 |
677 |
$2K |
| H0006 |
Alcohol and/or drug services; case management |
191 |
191 |
$2K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
188 |
188 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
110 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
2,307 |
2,297 |
$1K |
| 94760 |
|
6,211 |
6,002 |
$1K |
| 90461 |
|
248 |
238 |
$1K |
| 99441 |
|
100 |
95 |
$684.24 |
| 93000 |
|
43 |
43 |
$535.31 |
| 90672 |
|
840 |
838 |
$488.24 |
| 99409 |
|
780 |
778 |
$461.80 |
| 90633 |
|
880 |
878 |
$444.00 |
| 87110 |
|
39 |
39 |
$399.80 |
| 90671 |
|
244 |
243 |
$395.53 |
| 96112 |
|
83 |
80 |
$370.71 |
| 86580 |
|
30 |
27 |
$274.45 |
| 99408 |
|
1,459 |
1,450 |
$260.36 |
| 94761 |
|
223 |
216 |
$254.80 |
| 90716 |
|
135 |
135 |
$240.00 |
| 90677 |
|
30 |
30 |
$222.57 |
| 99381 |
|
12 |
12 |
$220.40 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
328 |
321 |
$177.45 |
| 90723 |
|
400 |
398 |
$130.00 |
| 90685 |
|
171 |
171 |
$125.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,752 |
6,701 |
$124.00 |
| 90674 |
|
150 |
150 |
$117.10 |
| 90680 |
|
732 |
730 |
$100.00 |
| 90698 |
|
209 |
209 |
$96.00 |
| 90715 |
|
111 |
111 |
$80.98 |
| 90648 |
|
173 |
173 |
$75.00 |
| 90647 |
|
282 |
282 |
$50.00 |
| 90681 |
|
56 |
56 |
$34.46 |
| 90707 |
|
114 |
114 |
$12.51 |
| S9452 |
Nutrition classes, non-physician provider, per session |
314 |
311 |
$12.50 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
71 |
71 |
$10.10 |
| 90710 |
|
112 |
112 |
$10.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
216 |
214 |
$7.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
119 |
116 |
$5.24 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
14 |
14 |
$2.08 |
| 81000 |
|
27 |
27 |
$1.81 |
| 1036F |
|
741 |
738 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,249 |
1,243 |
$0.00 |
| 3008F |
|
5,579 |
5,557 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,163 |
2,154 |
$0.00 |
| 1000F |
|
1,345 |
1,332 |
$0.00 |
| 90696 |
|
114 |
114 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
376 |
376 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 90697 |
|
39 |
39 |
$0.00 |
| G9416 |
Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays |
13 |
13 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
919 |
913 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,297 |
1,293 |
$0.00 |
| 3725F |
|
2,196 |
2,188 |
$0.00 |
| 3016F |
|
1,826 |
1,817 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,591 |
1,586 |
$0.00 |
| G9414 |
Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays |
54 |
54 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
64 |
64 |
$0.00 |
| 90621 |
|
29 |
29 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 90655 |
|
28 |
28 |
$0.00 |