| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
643 |
557 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
585 |
553 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
294 |
289 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
977 |
943 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
625 |
625 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
198 |
198 |
$5K |
| 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 |
154 |
154 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$5K |
| 96160 |
|
68 |
67 |
$3K |
| 92551 |
|
1,000 |
995 |
$3K |
| 0001A |
|
68 |
68 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
400 |
394 |
$2K |
| 99177 |
|
725 |
725 |
$597.23 |
| 0003A |
|
12 |
12 |
$484.09 |
| 81000 |
|
301 |
294 |
$289.00 |
| 92558 |
|
12 |
12 |
$99.40 |
| 3074F |
|
37 |
37 |
$92.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
172 |
172 |
$90.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,221 |
1,199 |
$86.25 |
| 3078F |
|
33 |
33 |
$82.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
491 |
478 |
$55.00 |
| 97802 |
|
1,270 |
1,263 |
$45.59 |
| 90686 |
|
95 |
92 |
$37.61 |
| 85018 |
|
13 |
13 |
$33.80 |
| H0049 |
Alcohol and/or drug screening |
171 |
171 |
$27.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
354 |
354 |
$27.00 |
| 99173 |
|
246 |
240 |
$26.71 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
171 |
171 |
$22.50 |
| 83655 |
|
218 |
218 |
$2.06 |
| 91300 |
|
79 |
77 |
$0.12 |
| S9452 |
Nutrition classes, non-physician provider, per session |
72 |
72 |
$0.00 |
| 3008F |
|
804 |
779 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
168 |
168 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
17 |
17 |
$0.00 |
| 1000F |
|
170 |
170 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
171 |
171 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
57 |
57 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
26 |
26 |
$0.00 |
| 0001F |
|
355 |
355 |
$0.00 |
| 4293F |
|
120 |
120 |
$0.00 |
| 1036F |
|
48 |
48 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
142 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
441 |
430 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
42 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
170 |
170 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
181 |
181 |
$0.00 |
| 90461 |
|
75 |
75 |
$0.00 |
| 90670 |
|
33 |
33 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
191 |
191 |
$0.00 |
| 99080 |
|
671 |
256 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
136 |
136 |
$0.00 |
| 90756 |
|
17 |
17 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
71 |
71 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 3725F |
|
175 |
175 |
$0.00 |
| 1159F |
|
330 |
330 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
27 |
27 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |