| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99493 |
|
320 |
320 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
580 |
548 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
268 |
267 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
121 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
85 |
$6K |
| 92587 |
|
400 |
400 |
$6K |
| 90461 |
|
108 |
107 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
375 |
342 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
52 |
$4K |
| 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 |
306 |
304 |
$3K |
| 96160 |
|
88 |
87 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
106 |
105 |
$2K |
| 97803 |
|
182 |
180 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$972.90 |
| 96127 |
|
264 |
264 |
$347.57 |
| 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 |
17 |
17 |
$295.61 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
13 |
13 |
$287.40 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$173.44 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
17 |
17 |
$173.44 |
| 94664 |
|
13 |
13 |
$138.96 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
168 |
$35.50 |
| 99173 |
|
62 |
62 |
$3.86 |
| 3725F |
|
16 |
16 |
$0.00 |
| 1031F |
|
280 |
250 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |
| 36406 |
|
58 |
57 |
$0.00 |
| 4293F |
|
17 |
17 |
$0.00 |