| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,103 |
1,006 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
518 |
514 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
353 |
347 |
$25K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,377 |
1,350 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
743 |
733 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
316 |
310 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
242 |
241 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
429 |
422 |
$2K |
| 99188 |
|
156 |
151 |
$2K |
| 92587 |
|
469 |
464 |
$2K |
| 99173 |
|
639 |
634 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
76 |
$1K |
| 90651 |
|
74 |
73 |
$1K |
| 90710 |
|
40 |
40 |
$687.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$308.22 |
| 90686 |
|
333 |
330 |
$169.38 |
| 97802 |
|
1,370 |
1,338 |
$158.41 |
| 90633 |
|
15 |
15 |
$0.00 |