| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
87 |
84 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
255 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
111 |
107 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$740.90 |
| 90461 |
|
12 |
12 |
$170.64 |