| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,571 |
2,382 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,482 |
2,466 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
475 |
474 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
317 |
317 |
$6K |
| 99401 |
|
1,714 |
1,701 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
136 |
$3K |
| 92587 |
|
227 |
227 |
$1K |
| 90656 |
|
189 |
189 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
157 |
156 |
$889.12 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$672.83 |
| 97802 |
|
1,276 |
1,276 |
$510.62 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$289.19 |
| 83655 |
|
28 |
28 |
$139.50 |
| 90461 |
|
256 |
256 |
$86.04 |
| 90686 |
|
686 |
686 |
$61.15 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
97 |
97 |
$60.00 |
| 99173 |
|
244 |
244 |
$26.16 |
| 3074F |
|
96 |
96 |
$22.50 |
| 3078F |
|
95 |
95 |
$22.50 |
| S9452 |
Nutrition classes, non-physician provider, per session |
188 |
188 |
$10.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
598 |
598 |
$10.00 |
| H0001 |
Alcohol and/or drug assessment |
164 |
164 |
$10.00 |
| 36415 |
Collection of venous blood by venipuncture |
231 |
231 |
$8.75 |
| 3008F |
|
734 |
734 |
$0.00 |
| 1036F |
|
125 |
125 |
$0.00 |
| 2010F |
|
95 |
95 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
206 |
206 |
$0.00 |
| 1000F |
|
127 |
127 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$0.00 |
| 94760 |
|
55 |
54 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
60 |
60 |
$0.00 |
| 3016F |
|
128 |
128 |
$0.00 |
| 90685 |
|
138 |
138 |
$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 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
172 |
172 |
$0.00 |
| 90661 |
|
15 |
15 |
$0.00 |
| 90670 |
|
40 |
40 |
$0.00 |
| 3725F |
|
144 |
144 |
$0.00 |
| 1159F |
|
15 |
15 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |