| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
116 |
116 |
$5K |
| 92587 |
|
171 |
171 |
$4K |
| 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 |
131 |
131 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
94 |
94 |
$960.53 |
| 99406 |
|
26 |
26 |
$445.25 |
| 83655 |
|
12 |
12 |
$170.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$159.25 |
| 85018 |
|
39 |
39 |
$108.42 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
32 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
141 |
141 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
32 |
32 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
33 |
33 |
$0.00 |
| 3008F |
|
101 |
101 |
$0.00 |
| 92567 |
|
29 |
29 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
38 |
$0.00 |
| 36416 |
|
58 |
58 |
$0.00 |
| 1000F |
|
26 |
26 |
$0.00 |
| 97802 |
|
212 |
212 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |
| 3725F |
|
32 |
32 |
$0.00 |
| 99401 |
|
234 |
234 |
$0.00 |
| 3016F |
|
31 |
31 |
$0.00 |
| 99080 |
|
3,869 |
262 |
$0.00 |
| 99173 |
|
88 |
88 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$0.00 |
| 92557 |
|
150 |
150 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
14 |
14 |
$0.00 |
| 99408 |
|
26 |
26 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
17 |
$0.00 |