| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,958 |
1,623 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
567 |
524 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
96 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
535 |
471 |
$7K |
| 92081 |
|
128 |
116 |
$4K |
| 92587 |
|
111 |
101 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$636.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
32 |
$157.14 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$125.00 |
| 97802 |
|
596 |
521 |
$85.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
106 |
106 |
$35.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
800 |
665 |
$0.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$0.00 |
| 3008F |
|
986 |
831 |
$0.00 |
| 90686 |
|
123 |
114 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
21 |
20 |
$0.00 |
| 90674 |
|
36 |
34 |
$0.00 |