| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,639 |
2,185 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
917 |
858 |
$13K |
| 92587 |
|
446 |
445 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
328 |
328 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$831.20 |
| 86769 |
|
27 |
27 |
$819.22 |
| 90688 |
|
527 |
526 |
$722.64 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$687.71 |
| 97802 |
|
370 |
370 |
$617.10 |
| 99401 |
|
14 |
13 |
$368.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
47 |
$301.66 |
| 99442 |
|
12 |
12 |
$272.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$91.20 |
| H0001 |
Alcohol and/or drug assessment |
72 |
72 |
$90.00 |
| 81000 |
|
75 |
72 |
$14.04 |
| 90461 |
|
15 |
15 |
$9.35 |
| 99050 |
|
24 |
22 |
$7.07 |
| 99000 |
|
1,352 |
1,279 |
$5.09 |
| 36415 |
Collection of venous blood by venipuncture |
416 |
415 |
$3.00 |
| D1310 |
|
95 |
95 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
72 |
72 |
$0.00 |
| D1330 |
|
95 |
95 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |
| 36410 |
|
25 |
25 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
84 |
84 |
$0.00 |
| 99173 |
|
431 |
430 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$0.00 |