| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,134 |
2,406 |
$261K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
145 |
132 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
100 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
25 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
968 |
733 |
$3K |
| 90686 |
|
134 |
134 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
174 |
138 |
$188.78 |
| 90685 |
|
14 |
14 |
$48.02 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
205 |
179 |
$27.11 |
| 90698 |
|
37 |
37 |
$0.00 |
| 81000 |
|
154 |
150 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$0.00 |
| 85018 |
|
40 |
40 |
$0.00 |
| 90461 |
|
271 |
271 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
608 |
598 |
$0.00 |
| 90670 |
|
48 |
48 |
$0.00 |