| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
584 |
566 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
306 |
303 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
148 |
148 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
212 |
212 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$3K |
| 92587 |
|
190 |
185 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
146 |
146 |
$869.07 |
| 99173 |
|
93 |
90 |
$34.92 |
| 97802 |
|
419 |
372 |
$0.00 |
| 90686 |
|
73 |
73 |
$0.00 |