| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
394 |
366 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
73 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$4K |
| 90461 |
|
93 |
93 |
$4K |
| 97802 |
|
144 |
143 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
138 |
138 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
143 |
142 |
$3K |
| 87561 |
|
31 |
31 |
$942.71 |
| 90686 |
|
39 |
39 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |