| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
254 |
245 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
127 |
127 |
$2K |
| 0001A |
|
38 |
38 |
$2K |
| 92587 |
|
62 |
62 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
114 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
33 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
37 |
$705.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
58 |
57 |
$580.00 |
| 90686 |
|
53 |
53 |
$197.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
47 |
$92.64 |
| 99442 |
|
31 |
30 |
$52.48 |
| 99441 |
|
50 |
49 |
$41.56 |
| 85018 |
|
15 |
14 |
$38.14 |
| H0049 |
Alcohol and/or drug screening |
25 |
25 |
$24.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
157 |
157 |
$10.00 |
| 96127 |
|
120 |
120 |
$7.28 |
| 91305 |
|
32 |
31 |
$0.31 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
44 |
44 |
$0.00 |
| 99080 |
|
1,474 |
118 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
109 |
109 |
$0.00 |
| 1160F |
|
50 |
49 |
$0.00 |
| 99173 |
|
136 |
136 |
$0.00 |
| G9818 |
Documentation of sexual activity |
68 |
68 |
$0.00 |
| 99401 |
|
165 |
165 |
$0.00 |
| 3016F |
|
109 |
109 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
85 |
$0.00 |
| 3725F |
|
120 |
120 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
51 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 1159F |
|
50 |
49 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 96160 |
|
52 |
51 |
$0.00 |
| 2001F |
|
50 |
49 |
$0.00 |
| 1000F |
|
81 |
81 |
$0.00 |
| 3008F |
|
191 |
189 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
120 |
120 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
121 |
121 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$0.00 |
| 97802 |
|
181 |
180 |
$0.00 |
| 1036F |
|
81 |
81 |
$0.00 |
| 36416 |
|
17 |
16 |
$0.00 |
| 2010F |
|
51 |
50 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
56 |
56 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
81 |
81 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |