| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,141 |
4,389 |
$197K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,032 |
2,998 |
$80K |
| 99407 |
|
994 |
991 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
413 |
413 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
371 |
369 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
236 |
234 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
94 |
94 |
$3K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
519 |
518 |
$2K |
| 81001 |
|
750 |
748 |
$2K |
| 86580 |
|
150 |
147 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
991 |
989 |
$867.70 |
| 99401 |
|
675 |
672 |
$664.31 |
| 90686 |
|
161 |
161 |
$636.43 |
| 94664 |
|
28 |
27 |
$215.25 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,482 |
1,450 |
$0.06 |
| 97802 |
|
3,383 |
3,305 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
766 |
724 |
$0.00 |
| 3008F |
|
1,455 |
1,353 |
$0.00 |
| 1036F |
|
100 |
100 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
35 |
35 |
$0.00 |
| 3725F |
|
214 |
212 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
35 |
35 |
$0.00 |