| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
731 |
676 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
601 |
596 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
104 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
57 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$2K |
| 0071A |
|
25 |
25 |
$1K |
| 92551 |
|
72 |
72 |
$435.62 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$84.00 |
| 99173 |
|
45 |
45 |
$84.00 |
| 97802 |
|
43 |
43 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
36 |
36 |
$0.00 |
| 97803 |
|
93 |
93 |
$0.00 |