| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
255 |
255 |
$2K |
| 90658 |
|
189 |
189 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,020 |
982 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
206 |
203 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
93 |
$380.92 |
| H0001 |
Alcohol and/or drug assessment |
282 |
282 |
$240.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
171 |
171 |
$0.00 |
| 1000F |
|
123 |
123 |
$0.00 |
| 3008F |
|
216 |
215 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
30 |
29 |
$0.00 |
| 3725F |
|
106 |
106 |
$0.00 |
| 1033F |
|
64 |
64 |
$0.00 |
| 3016F |
|
52 |
52 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |