| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
123 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
59 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 97802 |
|
56 |
56 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
55 |
$706.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
39 |
39 |
$533.10 |
| 90461 |
|
15 |
15 |
$340.47 |
| 85018 |
|
84 |
84 |
$172.20 |
| 96160 |
|
19 |
18 |
$154.66 |
| 80061 |
Lipid panel |
12 |
12 |
$139.32 |
| 96127 |
|
12 |
12 |
$85.32 |
| 99177 |
|
14 |
14 |
$29.40 |
| 92551 |
|
64 |
64 |
$15.22 |
| 94760 |
|
29 |
28 |
$0.00 |