| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
161 |
$1K |
| 99401 |
|
258 |
257 |
$862.32 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
74 |
$242.61 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
117 |
$238.67 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$223.00 |
| 90461 |
|
13 |
13 |
$35.07 |
| 92587 |
|
44 |
44 |
$26.75 |
| 81002 |
|
81 |
81 |
$10.44 |
| 96127 |
|
38 |
38 |
$4.71 |
| 99173 |
|
53 |
53 |
$4.36 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
201 |
200 |
$1.98 |
| 87110 |
|
74 |
74 |
$0.74 |
| 91307 |
|
13 |
12 |
$0.13 |
| 97802 |
|
204 |
203 |
$0.09 |
| H0001 |
Alcohol and/or drug assessment |
38 |
38 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
36 |
$0.00 |
| 2010F |
|
153 |
152 |
$0.00 |
| 3351F |
|
35 |
35 |
$0.00 |
| 1036F |
|
38 |
38 |
$0.00 |
| 3008F |
|
149 |
148 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 1000F |
|
38 |
38 |
$0.00 |
| 1220F |
|
38 |
38 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
23 |
23 |
$0.00 |
| 3725F |
|
38 |
38 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$0.00 |
| 3016F |
|
38 |
38 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
99 |
99 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
38 |
38 |
$0.00 |