| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
477 |
437 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
370 |
359 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
91 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
78 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
74 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
379 |
361 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
29 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
35 |
$1K |
| 99188 |
|
100 |
93 |
$959.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$742.70 |
| 92587 |
|
95 |
89 |
$390.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
43 |
$327.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
59 |
$284.96 |
| 90677 |
|
15 |
15 |
$0.09 |
| 99173 |
|
168 |
159 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 97802 |
|
227 |
215 |
$0.00 |
| 90686 |
|
112 |
106 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |