| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
239 |
237 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,306 |
4,179 |
$898.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,913 |
3,809 |
$776.93 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
144 |
144 |
$311.85 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
102 |
$271.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
242 |
$115.67 |
| 92551 |
|
335 |
333 |
$102.48 |
| 90686 |
|
39 |
39 |
$97.90 |
| 94760 |
|
3,314 |
3,236 |
$97.37 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,319 |
1,316 |
$47.52 |
| 93000 |
|
114 |
110 |
$35.37 |
| 85018 |
|
544 |
540 |
$27.86 |
| 81001 |
|
173 |
170 |
$20.24 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
751 |
747 |
$12.87 |
| 97802 |
|
1,641 |
1,581 |
$8.91 |
| 81002 |
|
53 |
53 |
$2.13 |
| 3075F |
|
2,506 |
2,453 |
$0.00 |
| 3079F |
|
2,376 |
2,301 |
$0.00 |
| 3008F |
|
9,130 |
8,837 |
$0.00 |
| 1000F |
|
4,885 |
4,724 |
$0.00 |
| 87070 |
|
75 |
75 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
478 |
477 |
$0.00 |
| 99386 |
|
30 |
30 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
439 |
438 |
$0.00 |
| 1034F |
|
1,322 |
1,287 |
$0.00 |
| 3074F |
|
5,241 |
5,108 |
$0.00 |
| 3351F |
|
381 |
381 |
$0.00 |
| 88142 |
|
77 |
77 |
$0.00 |
| 99385 |
|
83 |
80 |
$0.00 |
| 3353F |
|
54 |
54 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$0.00 |
| 1036F |
|
39 |
37 |
$0.00 |
| 99173 |
|
591 |
583 |
$0.00 |
| 1160F |
|
4,008 |
3,839 |
$0.00 |
| 3078F |
|
6,164 |
6,004 |
$0.00 |
| 82947 |
|
151 |
138 |
$0.00 |
| 3077F |
|
802 |
767 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
165 |
163 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
268 |
267 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
183 |
181 |
$0.00 |
| 1159F |
|
4,012 |
3,844 |
$0.00 |
| 99401 |
|
452 |
442 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
149 |
148 |
$0.00 |
| 3725F |
|
111 |
106 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
40 |
40 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
46 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
53 |
53 |
$0.00 |
| 3016F |
|
123 |
121 |
$0.00 |
| 90461 |
|
18 |
17 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
39 |
39 |
$0.00 |
| 4004F |
|
31 |
31 |
$0.00 |