| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
1,316 |
1,292 |
$13K |
| 90686 |
|
352 |
352 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
379 |
353 |
$960.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,289 |
1,206 |
$686.26 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,162 |
1,115 |
$604.77 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
88 |
$330.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,196 |
1,166 |
$240.29 |
| 96156 |
|
348 |
345 |
$232.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
356 |
348 |
$177.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$140.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
86 |
85 |
$122.16 |
| 90461 |
|
15 |
15 |
$80.00 |
| G9920 |
Screening performed and negative |
625 |
622 |
$60.58 |
| 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 |
707 |
694 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
125 |
$0.00 |
| 99173 |
|
485 |
475 |
$0.00 |
| 3078F |
|
42 |
42 |
$0.00 |
| 96160 |
|
45 |
45 |
$0.00 |
| 92081 |
|
35 |
35 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
22 |
21 |
$0.00 |
| 3008F |
|
893 |
879 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
64 |
63 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$0.00 |
| 3074F |
|
73 |
72 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
14 |
$0.00 |