| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,275 |
2,062 |
$25K |
| 92552 |
|
1,535 |
1,402 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
651 |
535 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
796 |
736 |
$10K |
| 92567 |
|
543 |
516 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
721 |
579 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
600 |
548 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
245 |
230 |
$2K |
| 90698 |
|
114 |
114 |
$909.01 |
| 90670 |
|
73 |
73 |
$549.01 |
| 88720 |
|
119 |
91 |
$498.42 |
| 90744 |
|
38 |
37 |
$297.02 |
| 90680 |
|
28 |
28 |
$216.01 |
| 99383 |
|
14 |
13 |
$168.27 |
| 96127 |
|
550 |
511 |
$137.12 |
| 90685 |
|
176 |
138 |
$121.89 |
| 99173 |
|
1,220 |
1,079 |
$111.07 |
| 90686 |
|
30 |
30 |
$99.00 |
| 94760 |
|
625 |
583 |
$68.60 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
754 |
681 |
$0.39 |
| 97802 |
|
731 |
657 |
$0.27 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,269 |
1,009 |
$0.00 |
| 90461 |
|
1,008 |
587 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
75 |
$0.00 |
| 1220F |
|
389 |
354 |
$0.00 |
| 92558 |
|
22 |
18 |
$0.00 |