| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,354 |
1,246 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
998 |
970 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
796 |
703 |
$15K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
233 |
233 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
101 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
89 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
522 |
519 |
$5K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
308 |
303 |
$5K |
| 97802 |
|
1,131 |
1,108 |
$5K |
| 92551 |
|
452 |
452 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$3K |
| 92587 |
|
67 |
67 |
$2K |
| 99173 |
|
428 |
428 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
733 |
719 |
$1K |
| 99401 |
|
233 |
232 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
216 |
216 |
$750.00 |
| 81000 |
|
267 |
265 |
$666.42 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
176 |
$665.55 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
103 |
$528.08 |
| H0049 |
Alcohol and/or drug screening |
78 |
78 |
$528.00 |
| S9470 |
Nutritional counseling, dietitian visit |
213 |
213 |
$448.21 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
28 |
$390.52 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
27 |
27 |
$350.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$349.29 |
| S9449 |
Weight management classes, non-physician provider, per session |
152 |
152 |
$300.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
159 |
159 |
$300.00 |
| H0001 |
Alcohol and/or drug assessment |
72 |
72 |
$288.09 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
71 |
70 |
$278.73 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
30 |
30 |
$235.73 |
| 83655 |
|
143 |
143 |
$211.18 |
| G0271 |
Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
30 |
30 |
$36.76 |
| G8482 |
Influenza immunization administered or previously received |
180 |
178 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
26 |
26 |
$0.00 |
| 90461 |
|
108 |
107 |
$0.00 |
| G0473 |
Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
30 |
30 |
$0.00 |
| 3725F |
|
33 |
33 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
33 |
33 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
342 |
303 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
74 |
74 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
15 |
15 |
$0.00 |
| 1159F |
|
177 |
177 |
$0.00 |
| 90671 |
|
15 |
15 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
41 |
40 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
134 |
133 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
184 |
184 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
162 |
162 |
$0.00 |
| 3008F |
|
354 |
346 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
14 |
13 |
$0.00 |
| 90686 |
|
193 |
192 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
274 |
274 |
$0.00 |
| 0001F |
|
176 |
176 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
60 |
60 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
41 |
41 |
$0.00 |
| 1000F |
|
29 |
29 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90677 |
|
22 |
22 |
$0.00 |
| 2010F |
|
16 |
16 |
$0.00 |
| 4293F |
|
16 |
16 |
$0.00 |