| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,218 |
1,061 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
210 |
203 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
140 |
139 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
375 |
345 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
262 |
259 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
360 |
343 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$964.68 |
| 81002 |
|
105 |
105 |
$300.92 |
| 87276 |
|
12 |
12 |
$160.14 |
| 90474 |
|
33 |
31 |
$90.75 |
| 90670 |
|
101 |
99 |
$0.00 |
| 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 |
108 |
108 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90698 |
|
65 |
63 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
108 |
108 |
$0.00 |
| 90680 |
|
29 |
27 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |