| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,840 |
1,600 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
794 |
784 |
$17K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
287 |
286 |
$6K |
| 92587 |
|
287 |
287 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99173 |
|
110 |
110 |
$438.92 |
| 99000 |
|
38 |
37 |
$170.98 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
43 |
$92.40 |
| 90686 |
|
100 |
100 |
$0.00 |