| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,140 |
1,042 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,019 |
994 |
$23K |
| 92587 |
|
968 |
955 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
675 |
603 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
233 |
$7K |
| 97802 |
|
602 |
593 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
381 |
376 |
$4K |
| 99173 |
|
596 |
587 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
69 |
$2K |
| 99401 |
|
808 |
798 |
$2K |
| 81002 |
|
953 |
939 |
$978.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$517.24 |
| 99441 |
|
17 |
16 |
$360.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
59 |
$324.36 |
| 90686 |
|
263 |
262 |
$31.40 |
| 90461 |
|
110 |
110 |
$30.00 |
| 96127 |
|
37 |
37 |
$21.42 |
| H0001 |
Alcohol and/or drug assessment |
37 |
37 |
$20.02 |
| A4930 |
Gloves, sterile, per pair |
45 |
45 |
$10.00 |
| 3511F |
|
62 |
60 |
$0.07 |
| 90672 |
|
62 |
60 |
$0.00 |
| 99080 |
|
165 |
26 |
$0.00 |
| 99177 |
|
14 |
14 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
37 |
37 |
$0.00 |
| 3085F |
|
37 |
37 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 2001F |
|
1,079 |
1,018 |
$0.00 |
| 1220F |
|
79 |
79 |
$0.00 |
| 3008F |
|
907 |
863 |
$0.00 |
| 2010F |
|
514 |
508 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 1036F |
|
37 |
37 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
43 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
19 |
19 |
$0.00 |