| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
64 |
$996.75 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$917.88 |
| 99401 |
|
257 |
257 |
$610.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
171 |
$327.68 |
| 97802 |
|
170 |
170 |
$308.70 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
204 |
204 |
$286.72 |
| 92587 |
|
190 |
190 |
$187.25 |
| 90656 |
|
100 |
100 |
$177.93 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
57 |
$46.35 |
| H0001 |
Alcohol and/or drug assessment |
127 |
127 |
$40.00 |
| 90461 |
|
35 |
35 |
$30.90 |
| 99173 |
|
167 |
167 |
$30.52 |
| 3008F |
|
222 |
221 |
$0.00 |
| 1036F |
|
79 |
79 |
$0.00 |
| 1000F |
|
79 |
79 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
194 |
194 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
80 |
80 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
79 |
79 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
79 |
79 |
$0.00 |
| 3016F |
|
80 |
80 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 3725F |
|
79 |
79 |
$0.00 |