| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
83 |
$2K |
| 97802 |
|
81 |
81 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
43 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
72 |
$963.04 |
| 0001A |
|
13 |
13 |
$551.22 |
| 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 |
18 |
18 |
$425.28 |
| 99173 |
|
15 |
15 |
$375.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$345.15 |
| H0049 |
Alcohol and/or drug screening |
32 |
32 |
$312.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
30 |
30 |
$278.59 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
32 |
32 |
$278.59 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
81 |
$265.00 |
| 92551 |
|
77 |
77 |
$236.06 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$207.27 |
| 81000 |
|
20 |
19 |
$32.00 |
| S9470 |
Nutritional counseling, dietitian visit |
16 |
16 |
$0.05 |
| 1000F |
|
32 |
32 |
$0.00 |
| 3008F |
|
185 |
180 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
65 |
65 |
$0.00 |
| 0001F |
|
65 |
65 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
25 |
25 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
33 |
$0.00 |
| 4293F |
|
16 |
16 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
32 |
32 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
19 |
19 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 1159F |
|
65 |
65 |
$0.00 |
| 3725F |
|
34 |
34 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
13 |
13 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
32 |
32 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
14 |
14 |
$0.00 |
| 91300 |
|
16 |
16 |
$0.00 |
| 99177 |
|
50 |
50 |
$0.00 |