| Code | Description | Claims | Beneficiaries | Total Paid |
| 92587 |
|
87 |
87 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
54 |
54 |
$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 |
35 |
35 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
35 |
35 |
$1K |
| 99000 |
|
90 |
90 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
91 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
28 |
28 |
$0.00 |
| 3008F |
|
89 |
89 |
$0.00 |
| 3074F |
|
44 |
44 |
$0.00 |
| 3078F |
|
44 |
44 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$0.00 |