| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,644 |
1,461 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
757 |
753 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
957 |
906 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
286 |
286 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
278 |
277 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
242 |
236 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
178 |
177 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
161 |
$14K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
649 |
647 |
$13K |
| 92587 |
|
714 |
710 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
823 |
820 |
$5K |
| 86580 |
|
520 |
518 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
137 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 92567 |
|
70 |
68 |
$706.58 |
| 99188 |
|
27 |
26 |
$323.49 |
| 99173 |
|
344 |
338 |
$17.46 |
| 90633 |
|
80 |
80 |
$0.00 |
| 90648 |
|
129 |
129 |
$0.00 |
| 90713 |
|
77 |
77 |
$0.00 |
| 90670 |
|
153 |
153 |
$0.00 |
| 90700 |
|
113 |
113 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 97802 |
|
1,610 |
1,304 |
$0.00 |
| 90686 |
|
233 |
233 |
$0.00 |
| 90680 |
|
42 |
42 |
$0.00 |
| 90651 |
|
69 |
68 |
$0.00 |