| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,087 |
968 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
254 |
252 |
$9K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
223 |
223 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
211 |
$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 |
413 |
411 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
213 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
79 |
$3K |
| 99173 |
|
300 |
277 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
90 |
$2K |
| 92551 |
|
463 |
432 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
101 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$1K |
| 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 |
147 |
147 |
$855.57 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
139 |
139 |
$727.43 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$706.47 |
| 36415 |
Collection of venous blood by venipuncture |
398 |
390 |
$641.65 |
| 99406 |
|
103 |
103 |
$622.49 |
| 85018 |
|
417 |
413 |
$606.06 |
| 90633 |
|
68 |
67 |
$495.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$489.17 |
| H0001 |
Alcohol and/or drug assessment |
108 |
108 |
$420.22 |
| 90686 |
|
188 |
187 |
$380.61 |
| S9451 |
Exercise classes, non-physician provider, per session |
315 |
313 |
$380.00 |
| 81002 |
|
361 |
358 |
$356.24 |
| 92587 |
|
18 |
18 |
$309.65 |
| 86580 |
|
31 |
30 |
$249.67 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
18 |
$31.20 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
75 |
75 |
$0.12 |
| 3008F |
|
403 |
386 |
$0.00 |