| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,822 |
1,661 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
343 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
344 |
343 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
528 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
233 |
224 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
190 |
187 |
$20K |
| 90686 |
|
341 |
339 |
$955.89 |
| 90461 |
|
474 |
452 |
$672.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,319 |
1,123 |
$438.06 |
| 92552 |
|
792 |
780 |
$98.47 |
| 97802 |
|
794 |
776 |
$53.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
413 |
233 |
$20.70 |
| 90651 |
|
38 |
38 |
$20.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
638 |
607 |
$9.92 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
788 |
770 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90670 |
|
139 |
138 |
$0.00 |
| 81002 |
|
602 |
594 |
$0.00 |
| 99173 |
|
814 |
803 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90734 |
|
33 |
33 |
$0.00 |