| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
220 |
211 |
$6K |
| 92587 |
|
154 |
154 |
$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 |
59 |
59 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
101 |
101 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
60 |
60 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
136 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |
| 3078F |
|
104 |
104 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
57 |
57 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 3008F |
|
165 |
165 |
$0.00 |
| 99000 |
|
191 |
191 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
183 |
183 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
59 |
$0.00 |
| 3074F |
|
104 |
104 |
$0.00 |
| 90686 |
|
93 |
93 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
85 |
85 |
$0.00 |