| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
284 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
190 |
$3K |
| 92587 |
|
112 |
112 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
147 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
206 |
200 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
66 |
66 |
$2K |
| 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 |
66 |
64 |
$1K |
| 83655 |
|
49 |
49 |
$681.60 |
| S9452 |
Nutrition classes, non-physician provider, per session |
47 |
47 |
$460.00 |
| 99401 |
|
376 |
367 |
$341.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
42 |
42 |
$340.00 |
| 99441 |
|
53 |
50 |
$186.50 |
| 85018 |
|
36 |
34 |
$83.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
104 |
$79.57 |
| 97802 |
|
387 |
379 |
$75.12 |
| 99442 |
|
15 |
15 |
$23.48 |
| 90686 |
|
39 |
39 |
$19.03 |
| 91305 |
|
24 |
22 |
$0.23 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
47 |
$0.00 |
| 99080 |
|
1,825 |
190 |
$0.00 |
| 1159F |
|
26 |
25 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
40 |
40 |
$0.00 |
| 1160F |
|
27 |
26 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
80 |
$0.00 |
| 96160 |
|
49 |
48 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
38 |
38 |
$0.00 |
| 99173 |
|
101 |
101 |
$0.00 |
| 3016F |
|
40 |
40 |
$0.00 |
| 3725F |
|
48 |
48 |
$0.00 |
| G9818 |
Documentation of sexual activity |
30 |
30 |
$0.00 |
| 3008F |
|
283 |
276 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
48 |
48 |
$0.00 |
| 2001F |
|
28 |
27 |
$0.00 |
| 2010F |
|
28 |
27 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
65 |
$0.00 |
| 96127 |
|
48 |
48 |
$0.00 |
| 1000F |
|
30 |
30 |
$0.00 |
| 1036F |
|
30 |
30 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
192 |
192 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
137 |
137 |
$0.00 |
| 36416 |
|
36 |
35 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
30 |
30 |
$0.00 |