| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
233 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
258 |
231 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
247 |
141 |
$386.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
27 |
$91.55 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
91 |
88 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
25 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |