| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
728 |
714 |
$23K |
| 92587 |
|
728 |
727 |
$20K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
366 |
366 |
$10K |
| 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 |
411 |
411 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
283 |
271 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
701 |
694 |
$5K |
| 86580 |
|
267 |
262 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
211 |
$1K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
43 |
43 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
157 |
$682.94 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
76 |
$641.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
286 |
286 |
$640.00 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$540.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
50 |
$382.49 |
| 36415 |
Collection of venous blood by venipuncture |
1,185 |
1,176 |
$313.84 |
| H0001 |
Alcohol and/or drug assessment |
182 |
182 |
$240.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$176.45 |
| 90686 |
|
185 |
182 |
$126.12 |
| 99000 |
|
820 |
819 |
$45.00 |
| 90461 |
|
67 |
67 |
$30.24 |
| 3008F |
|
1,326 |
1,307 |
$30.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
205 |
205 |
$24.63 |
| 81002 |
|
764 |
762 |
$20.11 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
710 |
700 |
$10.00 |
| 99173 |
|
489 |
488 |
$7.60 |
| A4930 |
Gloves, sterile, per pair |
343 |
340 |
$1.64 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
268 |
265 |
$0.00 |
| 3016F |
|
153 |
153 |
$0.00 |
| 3725F |
|
153 |
153 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 99401 |
|
227 |
226 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
154 |
154 |
$0.00 |
| 4004F |
|
18 |
18 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
93 |
93 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
28 |
28 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$0.00 |
| 99080 |
|
85 |
24 |
$0.00 |
| 97802 |
|
485 |
485 |
$0.00 |
| 1000F |
|
188 |
188 |
$0.00 |
| 2000F |
|
136 |
136 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
154 |
154 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
110 |
110 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
189 |
189 |
$0.00 |
| 2001F |
|
136 |
136 |
$0.00 |
| 2010F |
|
136 |
136 |
$0.00 |
| 1036F |
|
153 |
153 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
36 |
36 |
$0.00 |