| Code | Description | Claims | Beneficiaries | Total Paid |
| 99460 |
|
383 |
380 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
348 |
325 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
254 |
222 |
$11K |
| 99462 |
|
366 |
275 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
446 |
404 |
$5K |
| 99381 |
|
63 |
63 |
$3K |
| 96156 |
|
13 |
12 |
$1K |
| 90670 |
|
266 |
253 |
$933.75 |
| 90680 |
|
67 |
65 |
$369.00 |
| 90744 |
|
86 |
84 |
$342.00 |
| 90698 |
|
112 |
107 |
$333.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
28 |
$296.52 |
| 90686 |
|
62 |
57 |
$238.14 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
94 |
$87.26 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
221 |
200 |
$74.41 |
| 92552 |
|
84 |
81 |
$66.25 |
| 99173 |
|
79 |
76 |
$9.14 |
| 85018 |
|
135 |
134 |
$2.05 |
| 90685 |
|
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
93 |
$0.00 |
| 90648 |
|
45 |
41 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
22 |
$0.00 |
| 90633 |
|
53 |
46 |
$0.00 |
| 90700 |
|
54 |
50 |
$0.00 |
| 90707 |
|
52 |
45 |
$0.00 |
| 4004F |
|
40 |
39 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
72 |
70 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
163 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
84 |
$0.00 |
| 3008F |
|
102 |
99 |
$0.00 |
| 90716 |
|
52 |
44 |
$0.00 |
| 97802 |
|
51 |
51 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
51 |
51 |
$0.00 |