| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
423 |
393 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
140 |
140 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
49 |
$425.00 |
| 96127 |
|
89 |
89 |
$366.80 |
| S9470 |
Nutritional counseling, dietitian visit |
133 |
131 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
90 |
87 |
$0.00 |
| 97802 |
|
92 |
91 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
34 |
32 |
$0.00 |