| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,377 |
2,570 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
223 |
209 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
847 |
799 |
$19K |
| 99401 |
|
558 |
558 |
$16K |
| 92587 |
|
502 |
502 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
87 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
107 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
230 |
229 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$5K |
| 90656 |
|
263 |
262 |
$5K |
| 97802 |
|
276 |
276 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
163 |
162 |
$2K |
| 90660 |
|
56 |
56 |
$1K |
| 81002 |
|
428 |
423 |
$1K |
| 0072A |
|
25 |
25 |
$1K |
| 96127 |
|
798 |
794 |
$814.75 |
| 86580 |
|
62 |
62 |
$634.88 |
| 99173 |
|
330 |
329 |
$590.61 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
13 |
$327.80 |
| S9470 |
Nutritional counseling, dietitian visit |
637 |
636 |
$225.55 |
| 90686 |
|
46 |
46 |
$139.53 |
| 36415 |
Collection of venous blood by venipuncture |
220 |
208 |
$117.83 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
155 |
154 |
$104.50 |
| 94664 |
|
15 |
14 |
$63.51 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
128 |
128 |
$57.86 |
| G9275 |
Documentation that patient is a current non-tobacco user |
157 |
156 |
$54.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$17.15 |
| 3085F |
|
158 |
157 |
$0.00 |
| 3016F |
|
155 |
154 |
$0.00 |
| 3725F |
|
200 |
197 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 1000F |
|
160 |
159 |
$0.00 |
| 2000F |
|
201 |
198 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
147 |
147 |
$0.00 |
| 3008F |
|
284 |
284 |
$0.00 |
| 1036F |
|
157 |
156 |
$0.00 |
| 3011F |
|
64 |
63 |
$0.00 |
| 91307 |
|
29 |
24 |
$0.00 |