| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
1,030 |
1,028 |
$10K |
| 90686 |
|
266 |
266 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
186 |
$966.26 |
| 90651 |
|
112 |
111 |
$672.00 |
| 90734 |
|
87 |
87 |
$522.00 |
| 90633 |
|
69 |
69 |
$408.00 |
| 90670 |
|
57 |
57 |
$342.00 |
| 90648 |
|
45 |
45 |
$270.00 |
| 90715 |
|
37 |
37 |
$222.00 |
| 90723 |
|
30 |
30 |
$180.00 |
| 90620 |
|
26 |
26 |
$156.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$78.01 |
| 81025 |
|
109 |
108 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
187 |
$0.00 |
| 3078F |
|
295 |
279 |
$0.00 |
| 81002 |
|
666 |
655 |
$0.00 |
| 3725F |
|
992 |
974 |
$0.00 |
| 3077F |
|
338 |
311 |
$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) |
119 |
117 |
$0.00 |
| 99173 |
|
1,148 |
1,146 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
628 |
621 |
$0.00 |
| 99442 |
|
23 |
22 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
176 |
176 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
151 |
$0.00 |
| G9920 |
Screening performed and negative |
38 |
38 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
40 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,704 |
1,606 |
$0.00 |
| 3075F |
|
74 |
71 |
$0.00 |
| 85018 |
|
630 |
627 |
$0.00 |
| 99385 |
|
31 |
31 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
940 |
900 |
$0.00 |
| 3351F |
|
840 |
827 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
230 |
230 |
$0.00 |
| 3074F |
|
234 |
224 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
765 |
753 |
$0.00 |
| 99070 |
|
29 |
28 |
$0.00 |
| 96127 |
|
822 |
816 |
$0.00 |
| 99000 |
|
1,228 |
1,147 |
$0.00 |
| 36416 |
|
65 |
64 |
$0.00 |
| 1031F |
|
1,835 |
1,781 |
$0.00 |
| 99383 |
|
43 |
43 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
526 |
524 |
$0.00 |
| 99441 |
|
43 |
42 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
130 |
98 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,054 |
975 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 1034F |
|
208 |
202 |
$0.00 |
| 3080F |
|
106 |
106 |
$0.00 |
| 1036F |
|
803 |
766 |
$0.00 |
| 99384 |
|
30 |
30 |
$0.00 |
| 3079F |
|
208 |
202 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
29 |
29 |
$0.00 |
| 99406 |
|
135 |
134 |
$0.00 |
| 96156 |
|
40 |
40 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |