| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
1,108 |
1,103 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
225 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,142 |
2,986 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,167 |
1,145 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
110 |
$2K |
| 90686 |
|
583 |
578 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
145 |
143 |
$647.81 |
| 99173 |
|
1,038 |
1,036 |
$618.18 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$288.31 |
| 83026 |
|
135 |
135 |
$205.20 |
| 81002 |
|
570 |
568 |
$203.46 |
| 81003 |
|
72 |
72 |
$87.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
593 |
590 |
$72.24 |
| 90658 |
|
25 |
25 |
$63.00 |
| 90734 |
|
13 |
13 |
$45.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$41.20 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
623 |
616 |
$0.19 |
| 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 |
580 |
573 |
$0.00 |
| 3078F |
|
104 |
104 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |
| 3008F |
|
2,624 |
2,561 |
$0.00 |
| 3074F |
|
115 |
115 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
99 |
90 |
$0.00 |
| 97802 |
|
42 |
42 |
$0.00 |