| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,692 |
13,719 |
$132K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,551 |
5,485 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,901 |
1,889 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,614 |
1,604 |
$16K |
| 97802 |
|
4,929 |
4,861 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
958 |
941 |
$11K |
| 99407 |
|
1,077 |
1,071 |
$7K |
| 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 |
2,106 |
2,096 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
513 |
511 |
$4K |
| 99401 |
|
1,594 |
1,585 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,155 |
1,149 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
160 |
158 |
$2K |
| 90461 |
|
1,017 |
1,012 |
$1K |
| 94664 |
|
1,054 |
1,014 |
$1K |
| 90660 |
|
144 |
144 |
$1K |
| 81001 |
|
852 |
850 |
$917.23 |
| S9451 |
Exercise classes, non-physician provider, per session |
6,731 |
6,647 |
$547.24 |
| 90656 |
|
187 |
187 |
$396.85 |
| 86580 |
|
47 |
47 |
$354.47 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$345.89 |
| 90686 |
|
2,342 |
2,331 |
$342.24 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
47 |
47 |
$260.66 |
| 3078F |
|
2,303 |
2,291 |
$132.50 |
| 3074F |
|
2,334 |
2,323 |
$130.00 |
| 90619 |
|
189 |
189 |
$106.09 |
| 90655 |
|
28 |
28 |
$93.85 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,055 |
3,022 |
$22.50 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
12 |
12 |
$12.50 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$4.20 |
| 1036F |
|
1,705 |
1,696 |
$0.00 |
| 3008F |
|
5,649 |
5,387 |
$0.00 |
| 90651 |
|
403 |
401 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
56 |
56 |
$0.00 |
| 90680 |
|
37 |
37 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 3725F |
|
2,113 |
2,101 |
$0.00 |
| 3016F |
|
782 |
780 |
$0.00 |
| 90670 |
|
68 |
68 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,102 |
1,097 |
$0.00 |
| 90734 |
|
99 |
98 |
$0.00 |
| 90671 |
|
108 |
108 |
$0.00 |
| 90715 |
|
101 |
101 |
$0.00 |
| 90633 |
|
143 |
142 |
$0.00 |
| 90707 |
|
124 |
124 |
$0.00 |
| 90713 |
|
57 |
56 |
$0.00 |
| 90700 |
|
32 |
31 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |