| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,125 |
3,540 |
$222K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,295 |
1,269 |
$37K |
| 92552 |
|
600 |
598 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
120 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
128 |
$9K |
| S9470 |
Nutritional counseling, dietitian visit |
1,252 |
1,235 |
$7K |
| 99173 |
|
704 |
702 |
$2K |
| 99072 |
|
526 |
502 |
$2K |
| 99050 |
|
262 |
257 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 99401 |
|
192 |
192 |
$1K |
| 99051 |
|
136 |
131 |
$802.41 |
| 92587 |
|
28 |
28 |
$553.26 |
| 36415 |
Collection of venous blood by venipuncture |
314 |
312 |
$362.99 |
| 90686 |
|
291 |
286 |
$234.12 |
| 90461 |
|
13 |
13 |
$224.55 |
| 87400 |
|
31 |
31 |
$172.23 |
| 99000 |
|
397 |
397 |
$122.94 |
| 96127 |
|
34 |
34 |
$99.46 |
| 92551 |
|
13 |
13 |
$87.14 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$75.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$46.73 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
32 |
32 |
$27.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
34 |
34 |
$27.00 |
| 3725F |
|
34 |
34 |
$0.00 |
| 3016F |
|
31 |
31 |
$0.00 |
| 1036F |
|
34 |
34 |
$0.00 |
| 1000F |
|
34 |
34 |
$0.00 |