| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
451 |
417 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
441 |
412 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
515 |
502 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
79 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$3K |
| 81002 |
|
508 |
493 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
67 |
$462.00 |
| 96127 |
|
80 |
78 |
$258.69 |
| 36416 |
|
71 |
67 |
$207.36 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
12 |
$85.80 |
| 99173 |
|
346 |
341 |
$1.10 |
| 90670 |
|
17 |
17 |
$0.00 |
| 99000 |
|
148 |
135 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
401 |
385 |
$0.00 |
| 94760 |
|
201 |
175 |
$0.00 |
| 90686 |
|
122 |
122 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |