| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,149 |
1,020 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
173 |
172 |
$5K |
| 92587 |
|
175 |
175 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
113 |
113 |
$3K |
| 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 |
135 |
135 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
159 |
157 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
51 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
56 |
$665.26 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$408.36 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
98 |
98 |
$0.00 |
| 3725F |
|
48 |
48 |
$0.00 |
| 99173 |
|
101 |
101 |
$0.00 |
| 81002 |
|
174 |
174 |
$0.00 |
| 99401 |
|
78 |
78 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
162 |
162 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
40 |
40 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
46 |
46 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
48 |
48 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
12 |
12 |
$0.00 |
| 3016F |
|
48 |
48 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
48 |
48 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
48 |
48 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
104 |
104 |
$0.00 |
| 2000F |
|
48 |
48 |
$0.00 |
| 97802 |
|
157 |
157 |
$0.00 |
| 3008F |
|
162 |
162 |
$0.00 |
| 1036F |
|
48 |
48 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
103 |
103 |
$0.00 |
| 90686 |
|
23 |
23 |
$0.00 |
| 2010F |
|
48 |
48 |
$0.00 |
| 99000 |
|
103 |
103 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
66 |
66 |
$0.00 |
| 2001F |
|
48 |
48 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
48 |
48 |
$0.00 |
| 1000F |
|
48 |
48 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
29 |
$0.00 |