| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 94060 |
|
319 |
318 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
64 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
463 |
441 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
207 |
204 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
41 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
107 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
93 |
92 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
111 |
$890.00 |
| S9470 |
Nutritional counseling, dietitian visit |
140 |
140 |
$830.00 |
| 90686 |
|
286 |
281 |
$732.25 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
65 |
$503.66 |
| H0001 |
Alcohol and/or drug assessment |
49 |
49 |
$440.02 |
| G0008 |
Administration of influenza virus vaccine |
377 |
374 |
$174.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$60.00 |
| 90688 |
|
21 |
21 |
$37.54 |
| G8780 |
Counseling for diet and physical activity performed |
162 |
162 |
$0.00 |
| 3016F |
|
14 |
14 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |
| 3008F |
|
22 |
22 |
$0.00 |