| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
884 |
693 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
102 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
135 |
135 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 99188 |
|
12 |
12 |
$85.56 |
| 96161 |
|
14 |
13 |
$3.16 |
| 90461 |
|
74 |
74 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
86 |
86 |
$0.00 |
| 90670 |
|
58 |
58 |
$0.00 |
| 90698 |
|
55 |
55 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
73 |
73 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |