| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,938 |
2,168 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
877 |
742 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
49 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
26 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
581 |
445 |
$358.02 |
| 97802 |
|
830 |
758 |
$217.15 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
261 |
219 |
$58.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
14 |
$19.86 |
| S9452 |
Nutrition classes, non-physician provider, per session |
337 |
293 |
$10.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
70 |
$9.92 |
| 87807 |
|
23 |
12 |
$5.28 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
348 |
304 |
$0.00 |
| 96127 |
|
16 |
13 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
335 |
290 |
$0.00 |
| 98960 |
|
362 |
317 |
$0.00 |
| 90658 |
|
109 |
105 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
15 |
15 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |