| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,669 |
5,835 |
$215K |
| 97802 |
|
3,152 |
3,144 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
982 |
982 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,121 |
1,121 |
$61K |
| 90651 |
|
303 |
303 |
$54K |
| 92551 |
|
2,961 |
2,951 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
599 |
598 |
$28K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,212 |
1,208 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
809 |
809 |
$20K |
| 90688 |
|
999 |
999 |
$20K |
| 90621 |
|
150 |
150 |
$18K |
| 90686 |
|
467 |
466 |
$14K |
| 86580 |
|
2,182 |
2,178 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$4K |
| 90734 |
|
224 |
224 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
36 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$1K |
| 90715 |
|
56 |
56 |
$550.00 |
| 90716 |
|
52 |
52 |
$500.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
56 |
$496.05 |
| 90633 |
|
41 |
41 |
$400.00 |
| 90685 |
|
12 |
12 |
$394.08 |
| 90670 |
|
40 |
40 |
$390.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
64 |
$357.12 |
| 90707 |
|
24 |
24 |
$220.00 |