| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
963 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
224 |
217 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
148 |
132 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
144 |
140 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
193 |
179 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
700 |
393 |
$4K |
| 92552 |
|
453 |
451 |
$3K |
| 90670 |
|
146 |
146 |
$630.00 |
| 90648 |
|
118 |
117 |
$468.00 |
| 90723 |
|
107 |
106 |
$459.00 |
| 99173 |
|
172 |
172 |
$332.20 |
| 97803 |
|
250 |
250 |
$300.94 |
| 83026 |
|
82 |
82 |
$213.30 |
| 81003 |
|
63 |
63 |
$157.38 |
| 90680 |
|
30 |
30 |
$108.00 |
| 90651 |
|
157 |
157 |
$90.00 |
| 90734 |
|
53 |
52 |
$54.00 |
| 90716 |
|
13 |
13 |
$45.00 |
| 90700 |
|
25 |
25 |
$45.00 |
| 90633 |
|
18 |
18 |
$45.00 |
| 85018 |
|
26 |
26 |
$36.32 |
| 81000 |
|
26 |
26 |
$33.15 |
| 90461 |
|
122 |
114 |
$32.32 |
| 90707 |
|
27 |
27 |
$27.00 |
| 90686 |
|
18 |
18 |
$9.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39 |
39 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
16 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
176 |
176 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| 92060 |
|
43 |
43 |
$0.00 |
| 97802 |
|
23 |
23 |
$0.00 |
| 85032 |
|
15 |
15 |
$0.00 |
| 99172 |
|
12 |
12 |
$0.00 |
| 99401 |
|
39 |
39 |
$0.00 |