| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,052 |
1,866 |
$995.68 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
245 |
243 |
$526.20 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
182 |
$296.13 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
978 |
971 |
$256.00 |
| 92551 |
|
283 |
282 |
$250.10 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
41 |
$208.02 |
| 3008F |
|
1,035 |
1,028 |
$130.00 |
| 99173 |
|
413 |
411 |
$127.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
16 |
$108.80 |
| 90670 |
|
24 |
24 |
$83.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
62 |
$70.00 |
| 90633 |
|
25 |
25 |
$52.00 |
| 90686 |
|
24 |
24 |
$36.00 |
| 3078F |
|
383 |
381 |
$23.00 |
| 90651 |
|
15 |
14 |
$15.00 |
| 90688 |
|
28 |
28 |
$14.00 |
| 3074F |
|
384 |
382 |
$0.00 |
| 85018 |
|
55 |
55 |
$0.00 |
| 99441 |
|
15 |
13 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 83655 |
|
26 |
26 |
$0.00 |
| G9920 |
Screening performed and negative |
110 |
110 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |