| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
13 |
$542.80 |
| 92551 |
|
43 |
30 |
$251.58 |
| 92552 |
|
14 |
13 |
$212.10 |
| 85018 |
|
58 |
44 |
$79.95 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111 |
102 |
$73.90 |
| 99000 |
|
63 |
63 |
$7.18 |
| 3008F |
|
200 |
176 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
44 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
41 |
41 |
$0.00 |
| 97802 |
|
82 |
78 |
$0.00 |
| 3079F |
|
18 |
15 |
$0.00 |
| 3074F |
|
154 |
139 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
89 |
74 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
39 |
$0.00 |
| 97803 |
|
123 |
110 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
45 |
$0.00 |
| 3078F |
|
139 |
126 |
$0.00 |
| 81002 |
|
45 |
35 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
12 |
$0.00 |
| 99173 |
|
35 |
35 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
28 |
19 |
$0.00 |