| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
279 |
275 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
84 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
63 |
$806.55 |
| 90688 |
|
60 |
60 |
$754.88 |
| 3077F |
|
30 |
30 |
$40.00 |
| 3078F |
|
15 |
15 |
$15.00 |
| 96127 |
|
141 |
138 |
$9.15 |
| 3079F |
|
12 |
12 |
$5.00 |
| 3725F |
|
420 |
414 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
93 |
90 |
$0.00 |
| 3016F |
|
408 |
403 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
255 |
252 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
16 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
303 |
299 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
245 |
240 |
$0.00 |
| 1000F |
|
439 |
428 |
$0.00 |
| 3008F |
|
318 |
315 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
430 |
424 |
$0.00 |
| 1036F |
|
144 |
142 |
$0.00 |
| 99406 |
|
16 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
121 |
118 |
$0.00 |