| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,620 |
1,386 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
130 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
40 |
40 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
94 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
94 |
94 |
$5K |
| 92081 |
|
252 |
244 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
50 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
232 |
221 |
$2K |
| 92551 |
|
487 |
468 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
153 |
$2K |
| 85018 |
|
533 |
512 |
$1K |
| 81002 |
|
632 |
594 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
78 |
72 |
$869.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
46 |
$512.66 |
| 82962 |
|
42 |
40 |
$66.96 |
| 3080F |
|
19 |
16 |
$0.00 |
| 3079F |
|
95 |
84 |
$0.00 |
| 3074F |
|
842 |
704 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 99173 |
|
237 |
220 |
$0.00 |
| 3078F |
|
814 |
680 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |