| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92586 |
|
1,367 |
1,366 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,065 |
4,051 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,144 |
3,002 |
$31K |
| 92650 |
|
2,095 |
2,095 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,105 |
1,063 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,003 |
1,003 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
833 |
833 |
$12K |
| 90658 |
|
1,899 |
1,899 |
$10K |
| S9470 |
Nutritional counseling, dietitian visit |
3,321 |
3,320 |
$5K |
| 96127 |
|
2,575 |
2,574 |
$5K |
| 90660 |
|
254 |
254 |
$5K |
| 99173 |
|
2,881 |
2,880 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
185 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
1,018 |
1,018 |
$4K |
| 83655 |
|
399 |
398 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,394 |
1,392 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,625 |
2,614 |
$1K |
| 0072A |
|
26 |
26 |
$1K |
| 0003A |
|
24 |
24 |
$960.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$733.95 |
| 0071A |
|
13 |
13 |
$520.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
166 |
165 |
$141.04 |
| 90461 |
|
851 |
850 |
$122.58 |
| 97802 |
|
16 |
16 |
$59.84 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,652 |
1,650 |
$35.00 |
| 99408 |
|
534 |
534 |
$0.00 |
| 3725F |
|
814 |
812 |
$0.00 |
| 91300 |
|
41 |
39 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,356 |
1,356 |
$0.00 |
| 3016F |
|
621 |
621 |
$0.00 |
| 90734 |
|
52 |
52 |
$0.00 |
| G9821 |
No documentation of a chlamydia screening test with proper follow-up |
147 |
147 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,333 |
1,332 |
$0.00 |
| 1036F |
|
666 |
665 |
$0.00 |
| 3008F |
|
1,856 |
1,853 |
$0.00 |
| 1000F |
|
657 |
656 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
25 |
25 |
$0.00 |
| 1034F |
|
56 |
56 |
$0.00 |
| 90656 |
|
112 |
112 |
$0.00 |
| 90620 |
|
92 |
92 |
$0.00 |
| 90651 |
|
81 |
81 |
$0.00 |
| 91307 |
|
59 |
53 |
$0.00 |