| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
905 |
803 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
107 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
108 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
79 |
$7K |
| 99401 |
|
488 |
482 |
$6K |
| 99441 |
|
139 |
133 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
395 |
387 |
$3K |
| 99442 |
|
48 |
47 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
58 |
$2K |
| 92551 |
|
268 |
267 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
119 |
118 |
$987.91 |
| 99406 |
|
38 |
38 |
$262.99 |
| 99429 |
|
24 |
24 |
$203.75 |
| 99408 |
|
92 |
92 |
$128.40 |
| 87110 |
|
18 |
18 |
$111.06 |
| 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 |
13 |
13 |
$109.50 |
| 90688 |
|
69 |
69 |
$108.64 |
| 99051 |
|
29 |
29 |
$84.18 |
| 96127 |
|
38 |
38 |
$71.19 |
| 80061 |
Lipid panel |
16 |
16 |
$54.96 |
| 96160 |
|
26 |
26 |
$27.14 |
| 90685 |
|
21 |
21 |
$22.78 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$0.21 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
82 |
81 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
110 |
110 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
401 |
398 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
180 |
177 |
$0.00 |
| 97802 |
|
186 |
179 |
$0.00 |
| 90656 |
|
67 |
67 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 90686 |
|
23 |
22 |
$0.00 |