| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
485 |
422 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
218 |
212 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$291.36 |
| 92551 |
|
145 |
145 |
$96.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$47.80 |
| 99406 |
|
14 |
14 |
$42.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
72 |
$14.04 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$0.00 |
| 92081 |
|
72 |
72 |
$0.00 |
| 99442 |
|
14 |
14 |
$0.00 |
| 90685 |
|
50 |
50 |
$0.00 |
| 99401 |
|
170 |
165 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 99408 |
|
14 |
14 |
$0.00 |
| 90656 |
|
69 |
69 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 97802 |
|
51 |
42 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
54 |
54 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
31 |
28 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
57 |
$0.00 |