| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,429 |
3,409 |
$384K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
128 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
105 |
$10K |
| 90461 |
|
298 |
297 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
31 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
776 |
762 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
46 |
$174.25 |
| 87428 |
|
325 |
305 |
$172.68 |
| 85018 |
|
97 |
93 |
$112.92 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
81 |
81 |
$27.52 |
| 81003 |
|
179 |
168 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,423 |
1,296 |
$0.00 |
| 99173 |
|
35 |
35 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 92551 |
|
83 |
83 |
$0.00 |
| 90686 |
|
113 |
112 |
$0.00 |
| 81000 |
|
153 |
148 |
$0.00 |