| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
532 |
519 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
183 |
183 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
141 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
131 |
127 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
82 |
$10K |
| 90461 |
|
271 |
271 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
459 |
459 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
52 |
$1K |
| 80061 |
Lipid panel |
24 |
24 |
$320.40 |
| 85018 |
|
112 |
112 |
$256.82 |
| 96160 |
|
26 |
26 |
$234.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$177.84 |
| 81003 |
|
64 |
63 |
$138.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$98.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
59 |
59 |
$17.77 |
| 90680 |
|
45 |
45 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 90744 |
|
33 |
33 |
$0.00 |
| 90686 |
|
82 |
82 |
$0.00 |
| 90698 |
|
85 |
84 |
$0.00 |
| 92552 |
|
253 |
253 |
$0.00 |
| 90670 |
|
96 |
95 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |