| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,021 |
867 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$3K |
| 92552 |
|
347 |
335 |
$599.41 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
496 |
316 |
$0.00 |
| 1005F |
|
15 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 3008F |
|
337 |
316 |
$0.00 |
| 90686 |
|
27 |
25 |
$0.00 |
| 4015F |
|
15 |
12 |
$0.00 |