| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
807 |
700 |
$38K |
| 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 |
1,743 |
1,687 |
$30K |
| 92587 |
|
801 |
799 |
$22K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
894 |
893 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
620 |
601 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
123 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
396 |
396 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
423 |
421 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
183 |
182 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
430 |
427 |
$3K |
| 0003A |
|
56 |
56 |
$2K |
| 0001A |
|
42 |
42 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
193 |
$1K |
| 0013A |
|
31 |
31 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
139 |
130 |
$1K |
| 99177 |
|
733 |
732 |
$859.00 |
| 86580 |
|
79 |
79 |
$856.57 |
| 90661 |
|
37 |
37 |
$700.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$271.60 |
| 90686 |
|
266 |
265 |
$230.41 |
| 3074F |
|
211 |
211 |
$120.00 |
| 3079F |
|
42 |
42 |
$105.00 |
| 83015 |
|
428 |
424 |
$86.76 |
| 85018 |
|
12 |
12 |
$30.24 |
| 90670 |
|
18 |
18 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
210 |
210 |
$0.00 |
| 1160F |
|
103 |
95 |
$0.00 |
| 3016F |
|
210 |
210 |
$0.00 |
| 90633 |
|
102 |
102 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
210 |
$0.00 |
| 91300 |
|
45 |
45 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
184 |
184 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
208 |
208 |
$0.00 |
| 90671 |
|
42 |
42 |
$0.00 |
| 3725F |
|
210 |
210 |
$0.00 |
| 99080 |
|
45 |
26 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
678 |
677 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
689 |
689 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
210 |
210 |
$0.00 |
| 97802 |
|
469 |
469 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
298 |
297 |
$0.00 |
| 1036F |
|
210 |
210 |
$0.00 |
| 36406 |
|
81 |
81 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
466 |
466 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
210 |
210 |
$0.00 |
| 3008F |
|
31 |
31 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
210 |
210 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
210 |
210 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
30 |
30 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |