| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,367 |
3,632 |
$255K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,335 |
1,266 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
156 |
$12K |
| 99401 |
|
1,200 |
1,170 |
$10K |
| 92551 |
|
1,043 |
1,043 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
557 |
557 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
110 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,005 |
948 |
$7K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
183 |
183 |
$2K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
190 |
190 |
$2K |
| 97802 |
|
587 |
587 |
$958.26 |
| 90672 |
|
164 |
164 |
$537.60 |
| 90686 |
|
353 |
351 |
$383.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$378.91 |
| 99173 |
|
726 |
726 |
$221.19 |
| 86580 |
|
43 |
43 |
$215.79 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
125 |
125 |
$138.84 |
| 99001 |
|
15 |
14 |
$0.00 |