| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,376 |
3,842 |
$276K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
644 |
644 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,798 |
2,752 |
$48K |
| 92587 |
|
1,692 |
1,687 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
425 |
424 |
$32K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,268 |
1,266 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
168 |
168 |
$14K |
| 90461 |
|
294 |
290 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
54 |
$4K |
| 99173 |
|
1,148 |
1,144 |
$169.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$83.85 |
| 36415 |
Collection of venous blood by venipuncture |
403 |
396 |
$62.39 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90670 |
|
56 |
56 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90686 |
|
968 |
966 |
$0.00 |
| 99000 |
|
289 |
281 |
$0.00 |
| 90716 |
|
79 |
79 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |