| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
1,598 |
1,593 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
917 |
906 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
351 |
350 |
$4K |
| 90686 |
|
723 |
718 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,405 |
2,198 |
$726.62 |
| 90656 |
|
58 |
58 |
$348.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
271 |
269 |
$43.41 |
| 81002 |
|
1,646 |
1,632 |
$15.57 |
| 85018 |
|
1,192 |
1,187 |
$8.65 |
| 99173 |
|
1,604 |
1,599 |
$2.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
215 |
215 |
$0.03 |
| G9920 |
Screening performed and negative |
624 |
622 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
148 |
147 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
39 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
136 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
127 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
250 |
248 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |