| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
689 |
595 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
57 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
89 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 92587 |
|
85 |
78 |
$80.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
150 |
143 |
$28.77 |
| 96160 |
|
129 |
105 |
$2.57 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
89 |
79 |
$0.00 |
| 90686 |
|
35 |
33 |
$0.00 |
| 96127 |
|
42 |
37 |
$0.00 |
| 97802 |
|
27 |
27 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 99173 |
|
43 |
41 |
$0.00 |
| 81002 |
|
35 |
35 |
$0.00 |