| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
943 |
795 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
392 |
385 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
514 |
485 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
153 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
150 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
152 |
151 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
105 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
424 |
422 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
47 |
$5K |
| 92587 |
|
392 |
375 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
490 |
486 |
$3K |
| 99383 |
|
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
101 |
97 |
$1K |
| 92567 |
|
28 |
28 |
$288.16 |
| 86580 |
|
25 |
25 |
$121.95 |
| 99173 |
|
226 |
218 |
$17.46 |
| 90713 |
|
50 |
50 |
$0.00 |
| 90685 |
|
42 |
41 |
$0.00 |
| 90670 |
|
115 |
112 |
$0.00 |
| 90700 |
|
76 |
76 |
$0.00 |
| 90648 |
|
112 |
109 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90680 |
|
47 |
47 |
$0.00 |
| 90686 |
|
119 |
119 |
$0.00 |
| 97802 |
|
815 |
633 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |