| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,226 |
3,630 |
$269K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,691 |
1,636 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
287 |
$29K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
719 |
718 |
$14K |
| 92552 |
|
504 |
502 |
$11K |
| 99401 |
|
664 |
657 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 83655 |
|
132 |
132 |
$1K |
| 90461 |
|
42 |
42 |
$1K |
| 99000 |
|
1,115 |
1,059 |
$672.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
37 |
$413.81 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$353.60 |
| 99173 |
|
356 |
354 |
$241.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$138.84 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
40 |
$58.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$25.49 |
| 90686 |
|
766 |
765 |
$19.04 |
| 90685 |
|
41 |
41 |
$0.00 |