| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
969 |
884 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
127 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$841.65 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$738.14 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$600.24 |
| 90461 |
|
54 |
54 |
$565.04 |
| 87081 |
|
12 |
12 |
$72.60 |
| 97802 |
|
13 |
13 |
$65.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$65.00 |
| 92551 |
|
16 |
16 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |