| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,314 |
3,288 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,076 |
3,771 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
270 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
582 |
578 |
$4K |
| 92551 |
|
2,329 |
2,315 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
861 |
860 |
$835.84 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
181 |
$701.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
523 |
512 |
$552.27 |
| 90686 |
|
1,329 |
1,272 |
$245.93 |
| 97802 |
|
1,224 |
1,223 |
$190.16 |
| 36415 |
Collection of venous blood by venipuncture |
2,540 |
2,532 |
$146.95 |
| 90461 |
|
813 |
811 |
$133.63 |
| 90698 |
|
12 |
12 |
$112.89 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
521 |
518 |
$108.63 |
| 90474 |
|
14 |
14 |
$106.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
39 |
$97.81 |
| 90680 |
|
28 |
28 |
$75.13 |
| 99408 |
|
27 |
27 |
$45.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
180 |
180 |
$38.10 |
| 83655 |
|
678 |
675 |
$21.18 |
| 96160 |
|
1,930 |
1,926 |
$20.24 |
| H0049 |
Alcohol and/or drug screening |
178 |
178 |
$19.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,495 |
1,491 |
$14.51 |
| 96127 |
|
79 |
79 |
$9.00 |
| 3008F |
|
4,385 |
3,733 |
$0.00 |
| 2010F |
|
1,948 |
1,735 |
$0.00 |
| 2001F |
|
1,945 |
1,733 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
106 |
59 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,076 |
966 |
$0.00 |
| 1036F |
|
81 |
81 |
$0.00 |
| 1000F |
|
80 |
80 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
19 |
19 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
942 |
860 |
$0.00 |
| 90473 |
|
26 |
26 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
80 |
80 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
179 |
177 |
$0.00 |
| 90670 |
|
99 |
95 |
$0.00 |
| 99173 |
|
810 |
801 |
$0.00 |
| 90671 |
|
97 |
96 |
$0.00 |
| 3725F |
|
80 |
80 |
$0.00 |
| 1160F |
|
234 |
232 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
55 |
54 |
$0.00 |
| 1159F |
|
234 |
232 |
$0.00 |
| 90633 |
|
54 |
53 |
$0.00 |
| 3016F |
|
80 |
80 |
$0.00 |
| 90672 |
|
55 |
55 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |