| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,504 |
1,486 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,580 |
1,442 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
61 |
$2K |
| 92551 |
|
670 |
670 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
66 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
149 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
623 |
589 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$947.30 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$755.10 |
| 36415 |
Collection of venous blood by venipuncture |
1,123 |
1,112 |
$195.69 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
700 |
652 |
$180.00 |
| 97802 |
|
786 |
786 |
$125.52 |
| 90686 |
|
442 |
442 |
$94.65 |
| 99173 |
|
468 |
468 |
$38.90 |
| 83655 |
|
267 |
267 |
$1.88 |
| 3725F |
|
86 |
86 |
$0.00 |
| 90461 |
|
138 |
137 |
$0.00 |
| 90670 |
|
18 |
18 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
173 |
172 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
14 |
14 |
$0.00 |
| 99080 |
|
766 |
193 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
14 |
14 |
$0.00 |
| 3008F |
|
1,351 |
1,263 |
$0.00 |
| 1000F |
|
32 |
31 |
$0.00 |
| 1036F |
|
63 |
62 |
$0.00 |
| 99174 |
|
15 |
15 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |