| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
878 |
732 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
172 |
$6K |
| 90621 |
|
40 |
40 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
200 |
198 |
$2K |
| 90651 |
|
12 |
12 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
81 |
81 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$896.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$883.25 |
| 95117 |
|
153 |
89 |
$794.40 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
52 |
52 |
$232.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
44 |
$200.38 |
| 3008F |
|
52 |
52 |
$180.00 |