| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99336 |
|
252 |
252 |
$6K |
| 90688 |
|
105 |
105 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
80 |
$358.02 |
| 86580 |
|
28 |
27 |
$93.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
272 |
$23.76 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
795 |
787 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,090 |
2,046 |
$0.00 |
| 3008F |
|
1,416 |
1,393 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
513 |
506 |
$0.00 |
| 3079F |
|
89 |
87 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
328 |
321 |
$0.00 |
| 3351F |
|
185 |
185 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
138 |
136 |
$0.00 |
| 86780 |
|
125 |
124 |
$0.00 |
| 3074F |
|
633 |
616 |
$0.00 |
| 96156 |
|
695 |
664 |
$0.00 |
| 96150 |
|
266 |
264 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
13 |
13 |
$0.00 |
| 87492 |
|
125 |
124 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
88 |
86 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
301 |
177 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
174 |
171 |
$0.00 |
| 3044F |
|
26 |
26 |
$0.00 |
| 1111F |
|
23 |
23 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |
| 87530 |
|
125 |
124 |
$0.00 |
| 3078F |
|
434 |
428 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
131 |
130 |
$0.00 |
| 99499 |
|
232 |
228 |
$0.00 |
| 87592 |
|
123 |
122 |
$0.00 |
| G9920 |
Screening performed and negative |
599 |
590 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
321 |
319 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
17 |
17 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
12 |
12 |
$0.00 |
| 90714 |
|
17 |
17 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 99348 |
|
14 |
13 |
$0.00 |