| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
928 |
910 |
$13K |
| 92587 |
|
733 |
733 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
102 |
$1K |
| 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 |
599 |
599 |
$1K |
| 99173 |
|
576 |
576 |
$550.00 |
| 99406 |
|
59 |
59 |
$331.94 |
| 99401 |
|
59 |
59 |
$246.54 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$161.22 |
| 36415 |
Collection of venous blood by venipuncture |
453 |
453 |
$99.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
88 |
$57.92 |
| 90686 |
|
580 |
578 |
$57.09 |
| H0001 |
Alcohol and/or drug assessment |
70 |
70 |
$0.07 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
48 |
48 |
$0.04 |
| S9451 |
Exercise classes, non-physician provider, per session |
523 |
523 |
$0.00 |
| 3008F |
|
258 |
258 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
46 |
46 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
58 |
58 |
$0.00 |
| 1000F |
|
26 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
40 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
58 |
58 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
58 |
58 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
57 |
57 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
70 |
70 |
$0.00 |
| 3725F |
|
26 |
26 |
$0.00 |
| 3016F |
|
26 |
26 |
$0.00 |