| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,256 |
4,855 |
$228K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,158 |
5,095 |
$178K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,744 |
1,744 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,246 |
1,245 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,360 |
1,342 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
955 |
955 |
$59K |
| 90461 |
|
1,079 |
1,079 |
$41K |
| 99401 |
|
3,221 |
3,178 |
$36K |
| S9470 |
Nutritional counseling, dietitian visit |
1,220 |
1,206 |
$15K |
| H0049 |
Alcohol and/or drug screening |
779 |
779 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
758 |
739 |
$6K |
| 99173 |
|
2,686 |
2,684 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
595 |
590 |
$3K |
| 96127 |
|
906 |
901 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$696.29 |
| 81000 |
|
149 |
148 |
$391.16 |
| 97802 |
|
36 |
36 |
$101.32 |
| 99402 |
|
15 |
15 |
$92.52 |
| 90670 |
|
491 |
490 |
$71.40 |
| 90686 |
|
829 |
827 |
$35.70 |
| 3074F |
|
218 |
214 |
$27.50 |
| 90698 |
|
26 |
26 |
$17.85 |
| 90648 |
|
32 |
32 |
$17.85 |
| 3078F |
|
184 |
180 |
$15.00 |
| 3008F |
|
2,839 |
2,775 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,551 |
1,536 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
107 |
107 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
417 |
417 |
$0.00 |
| 90651 |
|
111 |
111 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
349 |
344 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
237 |
237 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
538 |
538 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,040 |
1,990 |
$0.00 |
| 90700 |
|
48 |
48 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
360 |
355 |
$0.00 |
| 90633 |
|
212 |
212 |
$0.00 |
| 3016F |
|
80 |
80 |
$0.00 |
| 90685 |
|
217 |
217 |
$0.00 |
| 3725F |
|
228 |
228 |
$0.00 |
| 90715 |
|
39 |
39 |
$0.00 |
| 90734 |
|
89 |
89 |
$0.00 |
| 90681 |
|
15 |
15 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |