| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,523 |
1,310 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,000 |
785 |
$61K |
| 90686 |
|
143 |
131 |
$2K |
| 92555 |
|
39 |
28 |
$389.16 |
| 99173 |
|
39 |
28 |
$100.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
164 |
137 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
17 |
$0.00 |