| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
547 |
497 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
518 |
399 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
148 |
117 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
123 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
135 |
103 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
118 |
113 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
29 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$118.86 |
| 94760 |
|
44 |
39 |
$97.27 |
| 90651 |
|
71 |
56 |
$0.07 |
| 90670 |
|
50 |
32 |
$0.01 |
| 3008F |
|
138 |
130 |
$0.00 |
| 90656 |
|
16 |
15 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 99173 |
|
55 |
50 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |