| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
297 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
124 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
71 |
$7K |
| 90461 |
|
131 |
131 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
52 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
47 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
45 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
174 |
173 |
$4K |
| 97802 |
|
155 |
155 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
153 |
153 |
$3K |
| 87561 |
|
86 |
84 |
$2K |
| 90651 |
|
39 |
39 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 90670 |
|
41 |
41 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |