| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
6,545 |
6,523 |
$59K |
| 90686 |
|
2,355 |
2,314 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
920 |
873 |
$9K |
| 90670 |
|
1,104 |
1,078 |
$6K |
| 86580 |
|
627 |
609 |
$6K |
| 90651 |
|
1,178 |
1,163 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
606 |
603 |
$5K |
| 90734 |
|
733 |
725 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,043 |
3,032 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
551 |
543 |
$4K |
| 90647 |
|
486 |
479 |
$4K |
| 90633 |
|
646 |
639 |
$3K |
| 90461 |
|
483 |
471 |
$3K |
| 90723 |
|
473 |
463 |
$3K |
| 99383 |
|
85 |
84 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,563 |
2,539 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,750 |
7,146 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,258 |
1,254 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$2K |
| 90710 |
|
348 |
346 |
$2K |
| 99381 |
|
27 |
27 |
$2K |
| 90696 |
|
319 |
317 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,976 |
1,967 |
$2K |
| 99382 |
|
38 |
38 |
$2K |
| 90715 |
|
246 |
245 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,153 |
1,148 |
$597.99 |
| 90620 |
|
99 |
98 |
$596.00 |
| 90716 |
|
103 |
100 |
$525.00 |
| G9920 |
Screening performed and negative |
14 |
14 |
$406.00 |
| 90707 |
|
70 |
68 |
$395.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
91 |
91 |
$390.00 |
| 90700 |
|
54 |
54 |
$389.00 |
| 90680 |
|
84 |
82 |
$259.00 |
| 90648 |
|
135 |
132 |
$243.00 |
| 90473 |
|
24 |
24 |
$230.00 |
| 90697 |
|
31 |
31 |
$172.00 |
| 99173 |
|
2,025 |
2,025 |
$140.72 |
| 90685 |
|
63 |
62 |
$140.00 |
| 90672 |
|
17 |
17 |
$102.00 |
| 85018 |
|
20 |
20 |
$32.80 |
| 81002 |
|
12 |
12 |
$20.40 |
| 90677 |
|
18 |
18 |
$10.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,145 |
3,136 |
$0.20 |
| 3078F |
|
2,067 |
2,060 |
$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 |
3,461 |
3,450 |
$0.00 |
| 99442 |
|
1,060 |
986 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
79 |
79 |
$0.00 |
| 90621 |
|
30 |
30 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 3008F |
|
6,364 |
6,345 |
$0.00 |
| 3079F |
|
95 |
95 |
$0.00 |
| 99441 |
|
2,937 |
2,704 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 3074F |
|
2,209 |
2,201 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
313 |
312 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23 |
23 |
$0.00 |