| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,295 |
1,293 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,203 |
1,201 |
$97K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,134 |
3,097 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
643 |
643 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
956 |
938 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
540 |
536 |
$37K |
| 92551 |
|
2,567 |
2,563 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
286 |
270 |
$12K |
| 97802 |
|
3,215 |
3,179 |
$4K |
| 96127 |
|
989 |
985 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
852 |
837 |
$3K |
| 99000 |
|
2,423 |
2,385 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 36416 |
|
125 |
124 |
$422.31 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
56 |
56 |
$10.00 |
| 99173 |
|
1,213 |
1,211 |
$2.45 |
| 99499 |
|
42 |
42 |
$0.19 |
| 1000F |
|
539 |
538 |
$0.01 |
| 90670 |
|
160 |
160 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
273 |
272 |
$0.00 |
| 3008F |
|
2,379 |
2,368 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
402 |
402 |
$0.00 |
| 90686 |
|
139 |
139 |
$0.00 |
| 90744 |
|
37 |
37 |
$0.00 |
| 90698 |
|
56 |
56 |
$0.00 |
| 98960 |
|
2,402 |
2,394 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
231 |
231 |
$0.00 |
| 1033F |
|
105 |
104 |
$0.00 |
| 90633 |
|
25 |
24 |
$0.00 |
| 90461 |
|
106 |
106 |
$0.00 |