Preventive care & vaccines
Annual physicals, well-woman visits, vaccine administration. Most preventive services are required to be covered at $0 by ACA-compliant insurance — so any patient balance for these is worth disputing.
- 77067Screening mammography, bilateral
- 77080DEXA bone density, axial skeleton
- 90460Immunization administration through age 18, first vaccine
- 90461Immunization administration through age 18, each additional
- 90471Immunization administration (first vaccine)
- 90472Immunization administration, each additional vaccine
- 90473Immunization administration, intranasal/oral, one
- 90474Immunization administration, intranasal/oral, each additional
- 90630Influenza vaccine, quadrivalent, intradermal
- 90653Influenza vaccine, adjuvanted (Fluad)
- 90658Influenza vaccine, split-virus, IM (legacy)
- 90662Influenza vaccine, high-dose (Fluzone HD)
- 90670Pneumococcal conjugate vaccine, 13-valent (Prevnar 13)
- 90671Pneumococcal conjugate vaccine, 15-valent (Vaxneuvance)
- 90672Influenza vaccine, live attenuated, intranasal (FluMist)
- 90677Pneumococcal conjugate vaccine, 20-valent (Prevnar 20)
- 90682Influenza vaccine, quadrivalent recombinant (Flublok)
- 90685Influenza vaccine, quadrivalent, preservative-free, IM (0.25 mL)
- 90686Influenza vaccine, quadrivalent, preservative-free, IM (0.5 mL)
- 90707MMR vaccine (measles, mumps, rubella)
- 90710MMRV vaccine (measles, mumps, rubella, varicella)
- 90713Inactivated poliovirus vaccine (IPV)
- 90714Tetanus and diphtheria (Td) vaccine, preservative-free
- 90715Tetanus, diphtheria, acellular pertussis (Tdap) vaccine, adult
- 90716Varicella (chickenpox) vaccine
- 90723DTaP-Hep B-IPV vaccine (Pediarix)
- 90734Meningococcal conjugate vaccine (MenACWY)
- 90736Zoster (shingles) vaccine, live (Zostavax, legacy)
- 90744Hepatitis B vaccine, pediatric/adolescent dose
- 90746Hepatitis B vaccine, adult dose
- 90750Zoster (shingles) vaccine, recombinant (Shingrix)
- 90756Influenza vaccine, quadrivalent, cell-cultured
- 96127Brief emotional/behavioral assessment
- 99381Preventive visit, new patient, under 1 year
- 99382Preventive visit, new patient, 1–4 years
- 99383Preventive visit, new patient, 5–11 years
- 99384Preventive visit, new patient, 12–17 years
- 99385Preventive visit, new patient, 18–39 years
- 99386Preventive visit, new patient, 40–64 years
- 99387Preventive visit, new patient, 65+ years
- 99391Preventive visit, established patient, under 1 year
- 99392Preventive visit, established patient, 1–4 years
- 99393Preventive visit, established patient, 5–11 years
- 99394Preventive visit, established patient, 12–17 years
- 99395Preventive visit, established patient (18–39)
- 99396Preventive visit, established patient (40–64)
- 99397Preventive visit, established patient, 65+ years
- 99401Preventive counseling, individual, 15 minutes
- 99402Preventive counseling, individual, 30 minutes
- 99403Preventive counseling, individual, 45 minutes
- 99404Preventive counseling, individual, 60 minutes
- 99406Smoking-cessation counseling, 3–10 minutes
- 99407Smoking-cessation counseling, >10 minutes
- 99408Alcohol/substance screening, 15–30 minutes
- 99409Alcohol/substance screening, >30 minutes
- G0008Administration of influenza virus vaccine
- G0009Administration of pneumococcal vaccine
- G0010Administration of hepatitis B vaccine
- G0101Cervical or vaginal cancer screening, pelvic and clinical breast exam
- G0103Prostate cancer screening, PSA test
- G0117Glaucoma screening, performed by optometrist/ophthalmologist
- G0202Screening mammography, digital, bilateral
- G0402Initial preventive physical exam (Medicare 'Welcome to Medicare' visit)
- G0438Medicare annual wellness visit, initial
- G0439Medicare annual wellness visit, subsequent
- G0442Annual alcohol misuse screening, 15 min
- G0444Annual depression screening, 15 min
- G0447Face-to-face behavioral counseling for obesity, 15 min