| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,225 |
2,049 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
947 |
925 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
471 |
458 |
$5K |
| 92552 |
|
778 |
777 |
$3K |
| 99173 |
|
684 |
684 |
$1K |
| 90691 |
|
12 |
12 |
$870.05 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$542.82 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$466.11 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
106 |
106 |
$372.48 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$366.66 |
| 90686 |
|
201 |
201 |
$175.29 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$161.22 |
| S9470 |
Nutritional counseling, dietitian visit |
685 |
685 |
$145.12 |
| H0001 |
Alcohol and/or drug assessment |
28 |
28 |
$140.05 |
| 92567 |
|
16 |
12 |
$104.20 |
| 36415 |
Collection of venous blood by venipuncture |
153 |
151 |
$96.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
61 |
61 |
$84.00 |
| 90656 |
|
31 |
31 |
$70.59 |
| 91307 |
|
27 |
26 |
$24.00 |
| 3008F |
|
248 |
248 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
16 |
16 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
28 |
28 |
$0.00 |