| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,952 |
7,913 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,135 |
6,624 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,432 |
1,398 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,201 |
3,195 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,146 |
3,138 |
$5K |
| 99188 |
|
1,881 |
1,880 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,112 |
2,109 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,007 |
1,933 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
769 |
769 |
$2K |
| 92551 |
|
9,410 |
9,396 |
$1K |
| 90658 |
|
139 |
138 |
$1K |
| 90686 |
|
4,239 |
4,230 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
3,616 |
3,614 |
$630.02 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
325 |
320 |
$315.85 |
| 90660 |
|
12 |
12 |
$248.82 |
| 90461 |
|
2,062 |
2,062 |
$221.22 |
| 97802 |
|
2,196 |
2,196 |
$196.66 |
| 36415 |
Collection of venous blood by venipuncture |
8,468 |
8,384 |
$175.00 |
| 99383 |
|
12 |
12 |
$174.10 |
| 3074F |
|
295 |
294 |
$162.50 |
| 3078F |
|
306 |
306 |
$160.00 |
| 99173 |
|
4,304 |
4,300 |
$119.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$60.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$59.16 |
| 90707 |
|
12 |
12 |
$56.00 |
| 36406 |
|
82 |
82 |
$44.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
386 |
375 |
$36.00 |
| 90633 |
|
293 |
290 |
$24.00 |
| 90685 |
|
93 |
92 |
$21.81 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,146 |
2,144 |
$0.08 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
975 |
973 |
$0.06 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
614 |
614 |
$0.01 |
| 90715 |
|
174 |
173 |
$0.00 |
| 3725F |
|
2,333 |
2,331 |
$0.00 |
| 90672 |
|
554 |
554 |
$0.00 |
| 3016F |
|
2,335 |
2,332 |
$0.00 |
| 90734 |
|
876 |
875 |
$0.00 |
| 90700 |
|
14 |
13 |
$0.00 |
| 90648 |
|
282 |
281 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,337 |
2,328 |
$0.00 |
| 90670 |
|
388 |
387 |
$0.00 |
| 81002 |
|
461 |
454 |
$0.00 |
| 90710 |
|
37 |
37 |
$0.00 |
| 1036F |
|
2,292 |
2,291 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,125 |
2,119 |
$0.00 |
| 90651 |
|
895 |
893 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
71 |
71 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 3008F |
|
6,044 |
6,021 |
$0.00 |
| 1000F |
|
718 |
718 |
$0.00 |
| 90716 |
|
30 |
29 |
$0.00 |