| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
116 |
116 |
$2K |
| 0001A |
|
44 |
44 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
63 |
63 |
$1K |
| 0002A |
|
35 |
35 |
$1K |
| 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 |
37 |
36 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
96 |
96 |
$987.68 |
| 0072A |
|
28 |
28 |
$952.00 |
| 96160 |
|
21 |
21 |
$892.50 |
| 0071A |
|
16 |
16 |
$544.00 |
| 99177 |
|
79 |
79 |
$116.50 |
| 92558 |
|
12 |
12 |
$104.16 |
| S9451 |
Exercise classes, non-physician provider, per session |
78 |
78 |
$51.00 |
| 83655 |
|
83 |
83 |
$0.83 |
| 91307 |
|
51 |
44 |
$0.51 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
87 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
30 |
30 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
32 |
32 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
30 |
29 |
$0.00 |
| 1159F |
|
79 |
79 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
33 |
33 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
121 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$0.00 |
| 3725F |
|
32 |
32 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
32 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
143 |
143 |
$0.00 |
| 97802 |
|
171 |
171 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
30 |
30 |
$0.00 |
| 3008F |
|
156 |
156 |
$0.00 |
| 81000 |
|
43 |
43 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
32 |
32 |
$0.00 |
| 92551 |
|
110 |
110 |
$0.00 |
| 0001F |
|
79 |
79 |
$0.00 |
| 1000F |
|
32 |
32 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
32 |
32 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |