| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,856 |
2,765 |
$60K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,062 |
3,052 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
962 |
954 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,880 |
1,835 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,782 |
1,779 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,174 |
2,166 |
$12K |
| 86580 |
|
1,101 |
1,099 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,352 |
1,337 |
$6K |
| 92552 |
|
2,912 |
2,903 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,122 |
2,990 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
281 |
281 |
$4K |
| 0071A |
|
51 |
51 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
899 |
898 |
$1K |
| 0003A |
|
32 |
32 |
$1K |
| 0072A |
|
42 |
42 |
$1K |
| 90686 |
|
2,132 |
2,130 |
$873.52 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
295 |
286 |
$815.54 |
| 90670 |
|
100 |
100 |
$375.00 |
| 0001A |
|
13 |
13 |
$280.00 |
| H0001 |
Alcohol and/or drug assessment |
1,114 |
1,114 |
$270.00 |
| 90633 |
|
91 |
91 |
$189.00 |
| 90651 |
|
270 |
270 |
$180.00 |
| 90620 |
|
77 |
76 |
$178.88 |
| 90685 |
|
164 |
164 |
$151.20 |
| 3074F |
|
2,314 |
2,311 |
$115.00 |
| 3078F |
|
2,181 |
2,178 |
$95.00 |
| 90734 |
|
124 |
123 |
$85.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
798 |
798 |
$57.28 |
| 3079F |
|
12 |
12 |
$2.50 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,111 |
1,111 |
$0.25 |
| 97802 |
|
2,163 |
2,155 |
$0.01 |
| 1000F |
|
1,027 |
1,027 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
706 |
705 |
$0.00 |
| 3008F |
|
2,993 |
2,990 |
$0.00 |
| 4293F |
|
1,114 |
1,114 |
$0.00 |
| 2001F |
|
1,641 |
1,639 |
$0.00 |
| 1036F |
|
865 |
865 |
$0.00 |
| 2000F |
|
2,676 |
2,675 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
216 |
216 |
$0.00 |
| 2010F |
|
1,607 |
1,606 |
$0.00 |
| 2015F |
|
12 |
12 |
$0.00 |
| 91307 |
|
96 |
92 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$0.00 |
| 90698 |
|
28 |
28 |
$0.00 |
| 1005F |
|
12 |
12 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 2016F |
|
12 |
12 |
$0.00 |
| 1038F |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,075 |
1,075 |
$0.00 |
| 3016F |
|
1,116 |
1,116 |
$0.00 |
| 3725F |
|
1,093 |
1,093 |
$0.00 |
| 90461 |
|
218 |
218 |
$0.00 |
| 91300 |
|
49 |
49 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 4004F |
|
56 |
56 |
$0.00 |
| 99080 |
|
75 |
26 |
$0.00 |