| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,592 |
1,329 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
657 |
540 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
432 |
423 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
218 |
211 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
234 |
228 |
$1K |
| 87400 |
|
88 |
37 |
$570.86 |
| 97803 |
|
214 |
202 |
$150.00 |
| 90686 |
|
83 |
76 |
$20.00 |
| 94760 |
|
1,317 |
1,087 |
$0.00 |
| 96127 |
|
28 |
26 |
$0.00 |
| 92551 |
|
42 |
41 |
$0.00 |
| 99401 |
|
16 |
16 |
$0.00 |
| 99173 |
|
65 |
61 |
$0.00 |