| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
658 |
584 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
157 |
$7K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
55 |
$5K |
| 92587 |
|
160 |
158 |
$598.35 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$339.02 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
81 |
$289.12 |
| 99173 |
|
159 |
157 |
$286.71 |
| 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 |
13 |
13 |
$284.46 |
| 85018 |
|
117 |
115 |
$219.19 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
39 |
$167.80 |
| 81002 |
|
137 |
135 |
$120.70 |
| 99401 |
|
90 |
89 |
$116.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$90.57 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
33 |
32 |
$70.18 |
| 90656 |
|
62 |
62 |
$67.05 |
| 97802 |
|
105 |
105 |
$65.46 |
| H0001 |
Alcohol and/or drug assessment |
40 |
39 |
$30.00 |
| 99406 |
|
31 |
31 |
$27.16 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
45 |
$22.50 |
| 90461 |
|
13 |
13 |
$19.62 |
| 90734 |
|
15 |
15 |
$0.00 |
| 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 |
34 |
34 |
$0.00 |
| 1000F |
|
39 |
39 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
42 |
41 |
$0.00 |
| 1036F |
|
38 |
38 |
$0.00 |
| 3008F |
|
56 |
55 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |