| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,092 |
2,238 |
$258K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
487 |
372 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
795 |
710 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
137 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
164 |
121 |
$13K |
| 94760 |
|
1,457 |
1,141 |
$11K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,450 |
1,125 |
$9K |
| 99051 |
|
538 |
468 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$2K |
| 99441 |
|
42 |
38 |
$2K |
| 90686 |
|
178 |
176 |
$1K |
| 90461 |
|
48 |
43 |
$1K |
| 92551 |
|
59 |
59 |
$680.31 |
| 90656 |
|
131 |
131 |
$477.45 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
16 |
$387.52 |
| 97802 |
|
1,038 |
800 |
$359.90 |
| 90688 |
|
13 |
13 |
$31.84 |
| 36415 |
Collection of venous blood by venipuncture |
72 |
71 |
$6.17 |
| 99173 |
|
75 |
70 |
$3.46 |
| 1160F |
|
478 |
352 |
$0.00 |
| 1159F |
|
480 |
353 |
$0.00 |
| 3008F |
|
799 |
656 |
$0.00 |
| 4037F |
|
45 |
45 |
$0.00 |
| 99000 |
|
74 |
73 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |