| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
223 |
221 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
927 |
918 |
$5K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
290 |
289 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
245 |
243 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
174 |
169 |
$1K |
| 36425 |
|
1,163 |
1,128 |
$1K |
| 87110 |
|
59 |
59 |
$1K |
| 92553 |
|
770 |
769 |
$907.62 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
251 |
242 |
$887.97 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
268 |
267 |
$575.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
296 |
277 |
$530.76 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,824 |
1,712 |
$486.68 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
264 |
264 |
$334.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
214 |
214 |
$312.00 |
| S9470 |
Nutritional counseling, dietitian visit |
679 |
679 |
$230.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
676 |
676 |
$230.00 |
| 86480 |
|
12 |
12 |
$229.56 |
| S9449 |
Weight management classes, non-physician provider, per session |
676 |
676 |
$220.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
676 |
676 |
$220.00 |
| 80061 |
Lipid panel |
36 |
34 |
$132.24 |
| H0001 |
Alcohol and/or drug assessment |
82 |
81 |
$130.00 |
| H0049 |
Alcohol and/or drug screening |
83 |
82 |
$120.00 |
| 97802 |
|
890 |
859 |
$115.74 |
| 90686 |
|
465 |
465 |
$57.09 |
| 3016F |
|
175 |
174 |
$0.00 |
| 3725F |
|
232 |
231 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 3078F |
|
117 |
117 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
84 |
83 |
$0.00 |
| 99173 |
|
543 |
542 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
461 |
445 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
201 |
176 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| 3008F |
|
1,483 |
1,398 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
218 |
218 |
$0.00 |
| 99000 |
|
1,742 |
1,647 |
$0.00 |
| 3074F |
|
180 |
179 |
$0.00 |
| 96127 |
|
245 |
245 |
$0.00 |
| 1000F |
|
120 |
120 |
$0.00 |
| 1036F |
|
120 |
120 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
116 |
115 |
$0.00 |
| 36406 |
|
15 |
13 |
$0.00 |
| 3044F |
|
80 |
80 |
$0.00 |