| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,509 |
5,852 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,142 |
5,059 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
958 |
958 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,044 |
1,950 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
558 |
557 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
525 |
525 |
$17K |
| 92551 |
|
3,381 |
3,381 |
$13K |
| 99401 |
|
3,711 |
3,710 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
220 |
219 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
760 |
760 |
$3K |
| 90461 |
|
625 |
624 |
$2K |
| 90660 |
|
60 |
60 |
$1K |
| 97802 |
|
3,189 |
3,185 |
$864.46 |
| 36415 |
Collection of venous blood by venipuncture |
2,448 |
2,331 |
$368.50 |
| 90686 |
|
550 |
550 |
$305.15 |
| 90658 |
|
16 |
16 |
$225.00 |
| H0001 |
Alcohol and/or drug assessment |
669 |
669 |
$225.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$198.34 |
| 90734 |
|
39 |
39 |
$188.67 |
| 99050 |
|
66 |
64 |
$165.20 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$128.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$125.45 |
| 99173 |
|
2,548 |
2,548 |
$87.13 |
| 90633 |
|
37 |
37 |
$60.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$53.86 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,743 |
2,741 |
$0.70 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
665 |
665 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
405 |
405 |
$0.00 |
| 99072 |
|
1,116 |
1,048 |
$0.00 |
| 3725F |
|
213 |
213 |
$0.00 |
| 3016F |
|
184 |
184 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,392 |
1,388 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,591 |
1,587 |
$0.00 |
| 1036F |
|
201 |
201 |
$0.00 |
| 1000F |
|
172 |
172 |
$0.00 |
| 99441 |
|
14 |
12 |
$0.00 |
| 99000 |
|
45 |
44 |
$0.00 |
| 90677 |
|
33 |
33 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |