| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,773 |
1,668 |
$24K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,160 |
1,995 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
467 |
444 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
569 |
540 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
539 |
517 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
365 |
300 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
173 |
$4K |
| 97802 |
|
2,568 |
2,369 |
$3K |
| 83655 |
|
373 |
343 |
$2K |
| 90686 |
|
433 |
432 |
$692.85 |
| 90656 |
|
84 |
84 |
$269.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$241.10 |
| 36410 |
|
85 |
84 |
$238.30 |
| 90461 |
|
31 |
27 |
$150.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
31 |
31 |
$144.60 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
98 |
$84.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,351 |
1,235 |
$61.50 |
| 90687 |
|
69 |
69 |
$42.48 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
263 |
254 |
$36.00 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
68 |
67 |
$25.21 |
| 3008F |
|
2,113 |
1,920 |
$0.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |
| 90673 |
|
22 |
21 |
$0.00 |