| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,075 |
1,992 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,303 |
2,206 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
406 |
393 |
$11K |
| 90461 |
|
906 |
863 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
276 |
264 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
249 |
247 |
$8K |
| 87070 |
|
689 |
661 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,883 |
5,944 |
$4K |
| 90677 |
|
12 |
12 |
$2K |
| 90671 |
|
13 |
13 |
$2K |
| 90651 |
|
40 |
40 |
$2K |
| 36416 |
|
139 |
139 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
125 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
43 |
$1K |
| 99188 |
|
75 |
75 |
$1K |
| 90686 |
|
190 |
158 |
$567.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,190 |
1,111 |
$518.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
29 |
$437.00 |
| 90656 |
|
134 |
133 |
$422.30 |
| 99401 |
|
7,269 |
6,231 |
$356.77 |
| 92552 |
|
1,076 |
1,062 |
$349.10 |
| 90688 |
|
171 |
163 |
$301.44 |
| 90734 |
|
13 |
12 |
$299.67 |
| 36415 |
Collection of venous blood by venipuncture |
149 |
149 |
$290.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
877 |
848 |
$160.42 |
| 90633 |
|
45 |
40 |
$63.54 |
| 99403 |
|
505 |
503 |
$47.00 |
| 3008F |
|
5,474 |
4,965 |
$30.00 |
| 99421 |
|
20 |
19 |
$13.20 |
| 96160 |
|
409 |
405 |
$4.76 |
| 90660 |
|
36 |
34 |
$0.07 |
| 99402 |
|
1,290 |
1,230 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
674 |
672 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
173 |
173 |
$0.00 |
| 99000 |
|
773 |
738 |
$0.00 |
| 96127 |
|
64 |
64 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 99441 |
|
23 |
22 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
161 |
161 |
$0.00 |
| 99173 |
|
1,479 |
1,464 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
81 |
79 |
$0.00 |
| 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 |
175 |
175 |
$0.00 |
| 90672 |
|
96 |
83 |
$0.00 |
| 90670 |
|
27 |
26 |
$0.00 |
| 99080 |
|
22 |
22 |
$0.00 |