| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
254 |
$4K |
| 92587 |
|
146 |
146 |
$3K |
| 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 |
132 |
132 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
171 |
170 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
87 |
$2K |
| 0001A |
|
50 |
50 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
267 |
$2K |
| 83655 |
|
77 |
77 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
142 |
$766.28 |
| S9452 |
Nutrition classes, non-physician provider, per session |
71 |
71 |
$710.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$553.35 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
141 |
$477.42 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
47 |
47 |
$310.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$297.36 |
| 99441 |
|
120 |
115 |
$254.16 |
| 99401 |
|
427 |
422 |
$151.56 |
| 85018 |
|
45 |
45 |
$116.76 |
| 99442 |
|
65 |
64 |
$75.96 |
| 97802 |
|
409 |
408 |
$50.08 |
| 90686 |
|
33 |
33 |
$38.63 |
| 91305 |
|
30 |
30 |
$0.48 |
| 99080 |
|
3,418 |
355 |
$0.00 |
| 99173 |
|
157 |
157 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
56 |
56 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
83 |
83 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
78 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 3725F |
|
101 |
101 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
86 |
$0.00 |
| 91300 |
|
20 |
20 |
$0.00 |
| 3016F |
|
83 |
83 |
$0.00 |
| G9818 |
Documentation of sexual activity |
56 |
56 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
243 |
243 |
$0.00 |
| 3008F |
|
311 |
308 |
$0.00 |
| 1000F |
|
56 |
56 |
$0.00 |
| 1036F |
|
56 |
56 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$0.00 |
| 96127 |
|
100 |
100 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
56 |
56 |
$0.00 |
| 36416 |
|
50 |
50 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
101 |
101 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
99 |
99 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
127 |
127 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |