| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,322 |
2,893 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
539 |
495 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
330 |
330 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,779 |
1,728 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
248 |
248 |
$31K |
| 92552 |
|
1,153 |
1,153 |
$30K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
313 |
313 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
333 |
333 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
162 |
162 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
331 |
331 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
147 |
$1K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
49 |
49 |
$1K |
| 0072A |
|
24 |
23 |
$1K |
| 0071A |
|
22 |
22 |
$947.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$322.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$292.20 |
| 36415 |
Collection of venous blood by venipuncture |
1,412 |
1,409 |
$20.79 |
| 99173 |
|
1,156 |
1,156 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
257 |
257 |
$0.00 |
| 90672 |
|
29 |
29 |
$0.00 |
| 97802 |
|
1,081 |
1,081 |
$0.00 |
| 90686 |
|
683 |
683 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
240 |
240 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
29 |
$0.00 |
| 91307 |
|
63 |
51 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |