| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
287 |
283 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
120 |
120 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
68 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
58 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
103 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
33 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
37 |
$1K |
| 87807 |
|
12 |
12 |
$150.80 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
243 |
242 |
$0.00 |
| 90723 |
|
35 |
35 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90647 |
|
39 |
39 |
$0.00 |
| 90670 |
|
45 |
45 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |