| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
976 |
860 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
397 |
390 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
84 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
46 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
94 |
92 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 88740 |
|
559 |
495 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
60 |
56 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$1K |
| 99401 |
|
36 |
32 |
$937.82 |
| 99058 |
|
62 |
56 |
$764.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
57 |
$427.19 |
| 96127 |
|
101 |
101 |
$343.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
40 |
$266.58 |
| 94760 |
|
113 |
106 |
$207.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$205.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
13 |
$133.18 |
| 90671 |
|
13 |
13 |
$0.06 |
| 90686 |
|
93 |
92 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90660 |
|
15 |
15 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |