| Code | Description | Claims | Beneficiaries | Total Paid |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
318 |
203 |
$3K |
| 98940 |
|
138 |
85 |
$695.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
308 |
297 |
$451.26 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,496 |
6,677 |
$71.28 |
| 81002 |
|
300 |
273 |
$2.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
367 |
359 |
$0.00 |
| 85018 |
|
476 |
473 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
390 |
385 |
$0.00 |
| 90686 |
|
99 |
97 |
$0.00 |
| 99070 |
|
578 |
555 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
689 |
681 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
188 |
$0.00 |
| 86580 |
|
75 |
74 |
$0.00 |
| 90674 |
|
44 |
44 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
142 |
139 |
$0.00 |
| 94760 |
|
235 |
222 |
$0.00 |
| 90651 |
|
42 |
42 |
$0.00 |
| 81025 |
|
164 |
156 |
$0.00 |
| 92552 |
|
321 |
317 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
99 |
$0.00 |
| 99173 |
|
337 |
335 |
$0.00 |
| 97813 |
|
30 |
26 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
243 |
242 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
84 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
48 |
$0.00 |
| 97810 |
|
23 |
17 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
24 |
19 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
32 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
33 |
25 |
$0.00 |
| 82948 |
|
24 |
24 |
$0.00 |
| 4145F |
|
16 |
15 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| 99401 |
|
14 |
13 |
$0.00 |