| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
704 |
584 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
299 |
$15K |
| 92551 |
|
1,427 |
1,426 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
294 |
294 |
$12K |
| 85018 |
|
1,416 |
1,415 |
$3K |
| 90658 |
|
178 |
177 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
36 |
$1K |
| 90686 |
|
103 |
103 |
$927.00 |
| 97802 |
|
649 |
649 |
$356.75 |
| 90688 |
|
15 |
15 |
$135.00 |
| 90651 |
|
12 |
12 |
$108.00 |
| 92081 |
|
594 |
594 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 96127 |
|
25 |
25 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
107 |
107 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |