| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
|
6,683 |
6,638 |
$70K |
| 96160 |
|
2,803 |
2,766 |
$14K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,167 |
2,167 |
$14K |
| 99213 |
|
2,790 |
2,691 |
$11K |
| 99393 |
|
1,559 |
1,559 |
$7K |
| 90686 |
|
2,612 |
2,612 |
$5K |
| 85018 |
|
2,412 |
2,410 |
$4K |
| 96110 |
|
1,140 |
1,133 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
780 |
780 |
$2K |
| 99394 |
|
1,425 |
1,425 |
$2K |
| 81003 |
|
1,215 |
1,215 |
$1K |
| 99392 |
|
727 |
726 |
$1K |
| 92551 |
|
777 |
777 |
$930.73 |
| 90461 |
|
1,102 |
1,101 |
$903.32 |
| 90471 |
|
112 |
112 |
$730.07 |
| H0001 |
Alcohol and/or drug assessment |
1,808 |
1,808 |
$660.83 |
| 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 |
1,498 |
1,498 |
$552.22 |
| 99211 |
|
1,691 |
1,664 |
$455.99 |
| 86580 |
|
60 |
60 |
$430.29 |
| 90670 |
|
87 |
87 |
$232.05 |
| 99391 |
|
104 |
104 |
$149.16 |
| 87636 |
|
31 |
31 |
$142.63 |
| 92567 |
|
84 |
83 |
$109.74 |
| 99395 |
|
313 |
313 |
$98.31 |
| 36415 |
|
3,627 |
3,466 |
$93.00 |
| 90680 |
|
12 |
12 |
$89.25 |
| 81002 |
|
346 |
346 |
$56.25 |
| 99173 |
|
490 |
490 |
$34.72 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,707 |
1,707 |
$12.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,474 |
1,474 |
$0.67 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,749 |
1,749 |
$0.65 |
| 83655 |
|
40 |
40 |
$0.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,378 |
1,378 |
$0.28 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,009 |
1,009 |
$0.27 |
| 3008F |
|
8,691 |
8,360 |
$0.01 |
| 99408 |
|
1,953 |
1,953 |
$0.01 |
| 1000F |
|
1,540 |
1,540 |
$0.00 |
| 90620 |
|
79 |
79 |
$0.00 |
| 36416 |
|
2,360 |
2,358 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
382 |
382 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
160 |
160 |
$0.00 |
| 97802 |
|
747 |
747 |
$0.00 |
| 1031F |
|
2,960 |
2,958 |
$0.00 |
| 1036F |
|
1,533 |
1,533 |
$0.00 |
| 90651 |
|
271 |
271 |
$0.00 |
| 90656 |
|
178 |
178 |
$0.00 |
| 91307 |
|
85 |
79 |
$0.00 |
| G9416 |
Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays |
13 |
13 |
$0.00 |
| 91305 |
|
26 |
26 |
$0.00 |
| 3725F |
|
1,569 |
1,567 |
$0.00 |
| 3016F |
|
1,533 |
1,533 |
$0.00 |
| 1033F |
|
2,939 |
2,937 |
$0.00 |
| 87804 |
|
13 |
13 |
$0.00 |
| 90734 |
|
93 |
93 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
67 |
67 |
$0.00 |
| 91300 |
|
20 |
17 |
$0.00 |
| G9762 |
Patient had at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays |
12 |
12 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| G9414 |
Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays |
14 |
14 |
$0.00 |