| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
80 |
77 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$2K |
| 97802 |
|
49 |
46 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
53 |
52 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$864.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$757.20 |
| 92587 |
|
29 |
29 |
$620.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
32 |
$537.95 |
| 90461 |
|
13 |
12 |
$444.96 |
| H0001 |
Alcohol and/or drug assessment |
28 |
27 |
$290.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
16 |
$271.10 |
| 99173 |
|
32 |
31 |
$111.68 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
31 |
$0.00 |
| 3008F |
|
62 |
61 |
$0.00 |
| 1031F |
|
79 |
76 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
18 |
$0.00 |
| 2016F |
|
74 |
71 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
26 |
25 |
$0.00 |
| 1000F |
|
28 |
27 |
$0.00 |
| 1036F |
|
23 |
22 |
$0.00 |
| 3016F |
|
26 |
25 |
$0.00 |
| 3725F |
|
25 |
24 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |