| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,236 |
3,201 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,449 |
2,133 |
$30K |
| 87110 |
|
1,120 |
1,119 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
702 |
702 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
418 |
413 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
615 |
615 |
$10K |
| 92587 |
|
403 |
403 |
$9K |
| 92551 |
|
2,441 |
2,434 |
$6K |
| 86580 |
|
932 |
929 |
$6K |
| 90686 |
|
2,284 |
2,270 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
514 |
505 |
$6K |
| 99173 |
|
2,384 |
2,375 |
$4K |
| 83655 |
|
391 |
389 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
211 |
211 |
$3K |
| D1206 |
Topical application of fluoride varnish |
85 |
85 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
1,403 |
1,382 |
$2K |
| 99442 |
|
301 |
299 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
172 |
$2K |
| 86769 |
|
381 |
380 |
$2K |
| 97802 |
|
1,037 |
1,031 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
90 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,944 |
2,921 |
$1K |
| 90651 |
|
138 |
137 |
$1K |
| 90620 |
|
120 |
120 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
553 |
551 |
$540.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
554 |
552 |
$540.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$522.69 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$234.76 |
| 90716 |
|
53 |
53 |
$191.00 |
| 0001A |
|
16 |
13 |
$165.26 |
| 90707 |
|
13 |
13 |
$115.00 |
| 90734 |
|
44 |
44 |
$85.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$57.50 |
| 36406 |
|
12 |
12 |
$51.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
41 |
$27.07 |
| 90633 |
|
25 |
25 |
$24.00 |
| 3008F |
|
4,681 |
4,236 |
$0.00 |
| 1000F |
|
810 |
809 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,032 |
1,031 |
$0.00 |
| 1036F |
|
810 |
809 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
988 |
986 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 3725F |
|
725 |
724 |
$0.00 |
| 3016F |
|
846 |
845 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,195 |
1,191 |
$0.00 |
| 90685 |
|
41 |
41 |
$0.00 |
| 91300 |
|
31 |
29 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 86480 |
|
36 |
36 |
$0.00 |
| 99080 |
|
168 |
19 |
$0.00 |