| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
224 |
215 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
188 |
188 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
36 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
53 |
52 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
47 |
47 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
19 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 94760 |
|
371 |
361 |
$604.10 |
| 99070 |
|
68 |
68 |
$448.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$380.64 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$315.55 |
| 96127 |
|
13 |
13 |
$51.05 |
| 90686 |
|
121 |
121 |
$0.00 |
| 99173 |
|
50 |
50 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |