| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,654 |
1,634 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,369 |
1,993 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
812 |
804 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
491 |
480 |
$4K |
| 86580 |
|
492 |
489 |
$4K |
| 99401 |
|
2,275 |
2,231 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
510 |
484 |
$2K |
| 92587 |
|
1,226 |
1,222 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
235 |
234 |
$510.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
181 |
$464.68 |
| 99173 |
|
782 |
781 |
$197.35 |
| H0001 |
Alcohol and/or drug assessment |
258 |
258 |
$170.00 |
| 90461 |
|
107 |
107 |
$150.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
274 |
274 |
$81.95 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
31 |
$75.00 |
| 90658 |
|
94 |
93 |
$45.00 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
34 |
34 |
$20.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,129 |
1,127 |
$16.46 |
| 90688 |
|
586 |
586 |
$16.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
164 |
164 |
$10.50 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
222 |
222 |
$2.50 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
88 |
88 |
$2.50 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
373 |
372 |
$1.18 |
| A4930 |
Gloves, sterile, per pair |
1,413 |
1,373 |
$0.40 |
| 3008F |
|
1,384 |
1,373 |
$0.00 |
| 2000F |
|
846 |
844 |
$0.00 |
| 2001F |
|
886 |
884 |
$0.00 |
| 2010F |
|
1,054 |
1,049 |
$0.00 |
| 1000F |
|
337 |
337 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
201 |
201 |
$0.00 |
| 99000 |
|
232 |
230 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 1036F |
|
337 |
337 |
$0.00 |
| 90686 |
|
49 |
49 |
$0.00 |
| 3725F |
|
343 |
342 |
$0.00 |
| 1160F |
|
32 |
31 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
222 |
221 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,593 |
2,200 |
$0.00 |
| 3016F |
|
223 |
223 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
112 |
112 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90633 |
|
29 |
29 |
$0.00 |