| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97802 |
|
1,652 |
1,626 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,918 |
1,880 |
$43K |
| D1206 |
Topical application of fluoride varnish |
1,479 |
1,448 |
$34K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
637 |
609 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,521 |
2,369 |
$11K |
| 99173 |
|
1,172 |
1,168 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
306 |
306 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
828 |
824 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
612 |
611 |
$1K |
| 99381 |
|
24 |
24 |
$870.40 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$541.44 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
159 |
$211.72 |
| 92551 |
|
256 |
251 |
$25.60 |
| 90670 |
|
424 |
423 |
$9.00 |
| 90648 |
|
414 |
412 |
$9.00 |
| 90686 |
|
212 |
212 |
$9.00 |
| 90651 |
|
105 |
105 |
$9.00 |
| 90633 |
|
156 |
156 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 90707 |
|
183 |
183 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90700 |
|
30 |
30 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$0.00 |
| 90716 |
|
196 |
196 |
$0.00 |
| 90680 |
|
95 |
95 |
$0.00 |
| 90723 |
|
41 |
41 |
$0.00 |
| 90688 |
|
23 |
23 |
$0.00 |