| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
623 |
574 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
146 |
$16K |
| 99242 |
|
118 |
113 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
76 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
56 |
$6K |
| 90461 |
|
180 |
180 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
347 |
346 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
64 |
$2K |
| 96127 |
|
131 |
130 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
35 |
$548.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
54 |
$433.49 |
| 81003 |
|
49 |
49 |
$104.34 |
| 85018 |
|
37 |
37 |
$87.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
35 |
35 |
$55.09 |
| 90686 |
|
51 |
51 |
$0.00 |
| 90698 |
|
51 |
51 |
$0.00 |
| 90670 |
|
52 |
52 |
$0.00 |
| 92552 |
|
160 |
160 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |