| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,794 |
3,681 |
$334K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
732 |
732 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
312 |
298 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
223 |
222 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,035 |
1,032 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
106 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
184 |
175 |
$1K |
| 99188 |
|
151 |
151 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
79 |
$766.64 |
| 96127 |
|
180 |
179 |
$407.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$308.00 |
| 96161 |
|
47 |
41 |
$18.96 |
| 90686 |
|
207 |
207 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90698 |
|
236 |
236 |
$0.00 |
| 99406 |
|
60 |
60 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
636 |
633 |
$0.00 |
| 90680 |
|
91 |
91 |
$0.00 |
| 90744 |
|
60 |
60 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90461 |
|
238 |
238 |
$0.00 |
| 90670 |
|
220 |
220 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
634 |
630 |
$0.00 |
| G9920 |
Screening performed and negative |
949 |
941 |
$0.00 |
| 90633 |
|
71 |
71 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |