| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,997 |
3,466 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
100 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
150 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
245 |
$2K |
| 90674 |
|
45 |
45 |
$959.49 |
| 97169 |
|
32 |
32 |
$752.20 |
| 92551 |
|
146 |
142 |
$399.66 |
| 96160 |
|
252 |
151 |
$342.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
27 |
$324.52 |
| 0031A |
|
19 |
18 |
$227.12 |
| 93000 |
|
13 |
13 |
$176.92 |
| 3074F |
|
46 |
39 |
$0.00 |
| 3079F |
|
16 |
14 |
$0.00 |
| 3008F |
|
89 |
76 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
47 |
45 |
$0.00 |
| 99173 |
|
189 |
182 |
$0.00 |
| 1160F |
|
55 |
48 |
$0.00 |
| 3078F |
|
35 |
29 |
$0.00 |