| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,497 |
2,968 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
272 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
259 |
257 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
148 |
147 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
120 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
705 |
702 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
103 |
$8K |
| 90461 |
|
461 |
459 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
343 |
331 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
118 |
$2K |
| 97802 |
|
125 |
125 |
$620.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
125 |
125 |
$615.00 |
| 96127 |
|
70 |
68 |
$490.59 |
| 87430 |
|
35 |
35 |
$478.45 |
| 87276 |
|
28 |
27 |
$382.76 |
| 81002 |
|
16 |
16 |
$46.72 |
| 92551 |
|
216 |
216 |
$10.00 |
| 90710 |
|
59 |
59 |
$0.00 |
| 90633 |
|
36 |
36 |
$0.00 |
| 99173 |
|
70 |
70 |
$0.00 |
| 90670 |
|
157 |
157 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90734 |
|
43 |
43 |
$0.00 |
| 90687 |
|
29 |
29 |
$0.00 |
| 90723 |
|
49 |
49 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90688 |
|
94 |
94 |
$0.00 |
| 90647 |
|
58 |
58 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |