| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
860 |
720 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
87 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
124 |
$2K |
| 97802 |
|
89 |
83 |
$2K |
| 99383 |
|
13 |
13 |
$622.84 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
97 |
85 |
$502.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$411.68 |
| 97803 |
|
13 |
13 |
$203.49 |
| 85018 |
|
355 |
344 |
$182.48 |
| 81002 |
|
116 |
110 |
$101.39 |
| 86403 |
|
16 |
15 |
$29.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$14.40 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
205 |
173 |
$0.00 |
| 92551 |
|
78 |
69 |
$0.00 |
| 1160F |
|
432 |
326 |
$0.00 |
| 99173 |
|
80 |
71 |
$0.00 |