| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
337 |
277 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
157 |
148 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
79 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 92551 |
|
115 |
112 |
$536.33 |
| 99173 |
|
111 |
109 |
$511.42 |
| 96127 |
|
62 |
59 |
$274.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
13 |
$205.79 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
142 |
138 |
$34.50 |
| 90620 |
|
74 |
69 |
$0.00 |
| 90686 |
|
54 |
50 |
$0.00 |