| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
61 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$6K |
| 97803 |
|
57 |
57 |
$2K |
| 99441 |
|
159 |
131 |
$2K |
| 99442 |
|
35 |
32 |
$495.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
69 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
19 |
19 |
$0.00 |
| 90670 |
|
43 |
43 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
116 |
116 |
$0.00 |
| 90461 |
|
101 |
101 |
$0.00 |
| 92552 |
|
29 |
29 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |