| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
842 |
832 |
$23K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
92 |
92 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,562 |
1,333 |
$755.79 |
| H0001 |
Alcohol and/or drug assessment |
103 |
91 |
$380.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
50 |
$359.09 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,453 |
1,304 |
$286.84 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
145 |
$198.28 |
| 92551 |
|
921 |
918 |
$138.48 |
| 90686 |
|
334 |
333 |
$137.84 |
| 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 |
69 |
69 |
$106.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,142 |
1,063 |
$73.64 |
| 36415 |
Collection of venous blood by venipuncture |
1,378 |
1,335 |
$12.00 |
| 99173 |
|
660 |
657 |
$6.60 |
| 83655 |
|
14 |
14 |
$0.11 |
| 3008F |
|
2,766 |
2,527 |
$0.00 |
| 97802 |
|
365 |
354 |
$0.00 |
| 1036F |
|
185 |
178 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
41 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
348 |
336 |
$0.00 |
| 81000 |
|
333 |
325 |
$0.00 |
| 1000F |
|
105 |
96 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
90 |
83 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
454 |
417 |
$0.00 |
| 3725F |
|
109 |
98 |
$0.00 |
| H0007 |
Alcohol and/or drug services; crisis intervention (outpatient) |
43 |
39 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
122 |
120 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
55 |
55 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |