| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,371 |
6,716 |
$814K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,270 |
2,999 |
$78K |
| 99441 |
|
1,049 |
980 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
351 |
351 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
369 |
368 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
109 |
108 |
$12K |
| 90461 |
|
214 |
203 |
$8K |
| S9451 |
Exercise classes, non-physician provider, per session |
608 |
602 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
42 |
$5K |
| 97802 |
|
590 |
584 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
299 |
299 |
$1K |
| 90686 |
|
739 |
738 |
$1K |
| 96127 |
|
170 |
170 |
$374.00 |
| H0001 |
Alcohol and/or drug assessment |
14 |
14 |
$326.00 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
67 |
$129.98 |
| G9275 |
Documentation that patient is a current non-tobacco user |
213 |
213 |
$50.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
216 |
216 |
$0.21 |
| 3008F |
|
2,319 |
1,971 |
$0.00 |
| 1000F |
|
213 |
213 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,230 |
1,901 |
$0.00 |
| 1036F |
|
213 |
213 |
$0.00 |
| 3016F |
|
172 |
172 |
$0.00 |
| 90685 |
|
76 |
75 |
$0.00 |
| 3725F |
|
215 |
215 |
$0.00 |