| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92587 |
|
3,837 |
3,831 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,650 |
1,635 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,164 |
3,022 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
360 |
356 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,389 |
1,389 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,096 |
1,096 |
$4K |
| 99401 |
|
3,548 |
3,543 |
$3K |
| 99173 |
|
3,008 |
3,007 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
374 |
374 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
418 |
406 |
$2K |
| 90686 |
|
1,276 |
1,276 |
$1K |
| 90734 |
|
212 |
212 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,977 |
2,935 |
$992.83 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,929 |
1,929 |
$915.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
289 |
289 |
$524.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
161 |
141 |
$424.72 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,574 |
1,574 |
$332.25 |
| 90656 |
|
135 |
135 |
$195.00 |
| 90633 |
|
51 |
51 |
$195.00 |
| 85018 |
|
50 |
50 |
$136.22 |
| 97802 |
|
174 |
174 |
$41.40 |
| 36410 |
|
87 |
87 |
$36.10 |
| 90658 |
|
22 |
22 |
$30.00 |
| 90461 |
|
1,085 |
1,071 |
$9.81 |
| H0001 |
Alcohol and/or drug assessment |
1,322 |
1,322 |
$0.11 |
| 3008F |
|
414 |
410 |
$0.04 |
| 1036F |
|
1,305 |
1,305 |
$0.00 |
| 1000F |
|
1,303 |
1,303 |
$0.00 |
| 94760 |
|
196 |
194 |
$0.00 |
| 90651 |
|
196 |
196 |
$0.00 |
| 90620 |
|
45 |
45 |
$0.00 |
| 36416 |
|
36 |
36 |
$0.00 |
| 3725F |
|
1,925 |
1,925 |
$0.00 |
| 3016F |
|
1,924 |
1,924 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,926 |
1,926 |
$0.00 |