| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,100 |
978 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
814 |
732 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
181 |
180 |
$1K |
| 0002A |
|
26 |
25 |
$1K |
| 0001A |
|
25 |
21 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$710.48 |
| 0072A |
|
15 |
15 |
$560.00 |
| 0054A |
|
14 |
14 |
$520.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
52 |
52 |
$490.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
28 |
$296.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$236.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
50 |
50 |
$190.64 |
| 97802 |
|
1,141 |
1,013 |
$164.84 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
114 |
$150.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$72.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
78 |
$55.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$54.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
148 |
$52.48 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
242 |
242 |
$41.00 |
| 96127 |
|
50 |
50 |
$14.92 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
30 |
$13.00 |
| 91305 |
|
37 |
36 |
$6.92 |
| 91307 |
|
15 |
15 |
$0.13 |
| 3078F |
|
12 |
12 |
$0.00 |
| 3725F |
|
50 |
50 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
30 |
$0.00 |
| 99072 |
|
32 |
32 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
492 |
458 |
$0.00 |
| 3008F |
|
943 |
858 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
12 |
12 |
$0.00 |
| 96161 |
|
13 |
13 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
151 |
139 |
$0.00 |
| 90686 |
|
34 |
34 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |