| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,796 |
3,499 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,416 |
3,399 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
930 |
930 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
687 |
687 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
269 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
121 |
121 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
170 |
$2K |
| 97802 |
|
2,151 |
2,151 |
$2K |
| 99401 |
|
2,697 |
2,686 |
$2K |
| 90461 |
|
518 |
517 |
$2K |
| 90670 |
|
62 |
62 |
$950.00 |
| 90686 |
|
1,120 |
1,119 |
$890.93 |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,033 |
2,033 |
$849.50 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,047 |
2,047 |
$849.50 |
| 83655 |
|
67 |
67 |
$725.89 |
| 87110 |
|
25 |
25 |
$367.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
300 |
300 |
$356.94 |
| 90656 |
|
146 |
146 |
$163.32 |
| 90655 |
|
15 |
15 |
$68.96 |
| 90685 |
|
157 |
157 |
$63.39 |
| 90633 |
|
14 |
14 |
$48.00 |
| 99173 |
|
13 |
13 |
$4.07 |
| 3008F |
|
1,967 |
1,967 |
$0.01 |
| 1036F |
|
327 |
327 |
$0.00 |
| 1000F |
|
319 |
319 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
282 |
282 |
$0.00 |
| 90651 |
|
24 |
24 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
189 |
189 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 3725F |
|
321 |
321 |
$0.00 |
| 3016F |
|
176 |
176 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
24 |
24 |
$0.00 |
| 1160F |
|
32 |
32 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
172 |
172 |
$0.00 |
| 1159F |
|
85 |
85 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
26 |
26 |
$0.00 |