| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
564 |
554 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,008 |
857 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
112 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
208 |
184 |
$1K |
| 99173 |
|
250 |
248 |
$925.00 |
| 97802 |
|
380 |
330 |
$642.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
286 |
283 |
$630.99 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
36 |
$542.65 |
| 92551 |
|
374 |
371 |
$484.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
41 |
$258.00 |
| 99406 |
|
43 |
42 |
$174.12 |
| H0001 |
Alcohol and/or drug assessment |
123 |
120 |
$150.23 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
154 |
147 |
$45.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
25 |
25 |
$45.00 |
| 99401 |
|
72 |
63 |
$40.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
144 |
141 |
$36.94 |
| 96160 |
|
186 |
183 |
$32.71 |
| 87081 |
|
42 |
41 |
$26.00 |
| 1160F |
|
191 |
160 |
$20.44 |
| 90686 |
|
44 |
44 |
$19.03 |
| 90654 |
|
134 |
134 |
$18.92 |
| 1159F |
|
230 |
208 |
$6.80 |
| 3008F |
|
1,059 |
942 |
$0.01 |
| 2010F |
|
1,440 |
1,198 |
$0.00 |
| 1005F |
|
149 |
135 |
$0.00 |
| 2000F |
|
615 |
581 |
$0.00 |
| 1030F |
|
115 |
111 |
$0.00 |
| 2016F |
|
150 |
135 |
$0.00 |
| 2001F |
|
1,050 |
916 |
$0.00 |
| 1000F |
|
119 |
113 |
$0.00 |
| 1036F |
|
61 |
58 |
$0.00 |
| 3028F |
|
461 |
408 |
$0.00 |
| 3725F |
|
153 |
143 |
$0.00 |
| 90461 |
|
39 |
39 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
92 |
91 |
$0.00 |
| 3016F |
|
106 |
100 |
$0.00 |
| 90670 |
|
28 |
28 |
$0.00 |