| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
273 |
271 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
113 |
113 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
59 |
59 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
241 |
241 |
$1K |
| 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 |
35 |
35 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$549.12 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
23 |
$265.64 |
| 97802 |
|
58 |
58 |
$258.90 |
| 90686 |
|
108 |
107 |
$183.86 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$55.00 |
| 85018 |
|
28 |
28 |
$54.40 |
| 81003 |
|
13 |
13 |
$26.64 |
| 96160 |
|
82 |
82 |
$17.05 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
102 |
102 |
$9.00 |
| H0001 |
Alcohol and/or drug assessment |
48 |
48 |
$0.04 |
| 36416 |
|
21 |
21 |
$0.00 |
| 1031F |
|
153 |
153 |
$0.00 |
| 3008F |
|
427 |
419 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
36 |
$0.00 |
| 1000F |
|
48 |
48 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
43 |
$0.00 |
| 1036F |
|
48 |
48 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
35 |
35 |
$0.00 |
| 1033F |
|
152 |
152 |
$0.00 |
| 3016F |
|
47 |
47 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
20 |
20 |
$0.00 |
| 99408 |
|
62 |
62 |
$0.00 |
| 3725F |
|
49 |
49 |
$0.00 |
| 90461 |
|
25 |
25 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
35 |
35 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |