| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
279 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
108 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
175 |
171 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
249 |
244 |
$4K |
| 99188 |
|
208 |
204 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
61 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21 |
21 |
$1K |
| 92587 |
|
206 |
203 |
$733.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
28 |
$220.32 |
| 81002 |
|
27 |
26 |
$19.25 |
| 90633 |
|
13 |
12 |
$0.00 |
| 99173 |
|
180 |
180 |
$0.00 |
| 90710 |
|
15 |
14 |
$0.00 |
| 90670 |
|
14 |
13 |
$0.00 |
| 90619 |
|
27 |
27 |
$0.00 |
| 97802 |
|
250 |
247 |
$0.00 |
| 90686 |
|
27 |
27 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |