| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,922 |
11,972 |
$1.21M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,045 |
4,983 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
953 |
942 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
930 |
923 |
$84K |
| 92552 |
|
2,685 |
2,682 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
627 |
627 |
$62K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,354 |
2,353 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
345 |
340 |
$30K |
| 99401 |
|
1,029 |
990 |
$26K |
| 97802 |
|
1,799 |
1,798 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
165 |
$17K |
| 99442 |
|
142 |
121 |
$11K |
| 99173 |
|
2,512 |
2,504 |
$7K |
| 97803 |
|
314 |
309 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
694 |
393 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
865 |
815 |
$6K |
| 0003A |
|
14 |
14 |
$560.00 |
| 0071A |
|
12 |
12 |
$480.00 |
| 97804 |
|
35 |
35 |
$378.48 |
| 90686 |
|
28 |
28 |
$39.16 |
| 91307 |
|
18 |
18 |
$7.65 |
| 91300 |
|
15 |
15 |
$6.75 |
| 90461 |
|
28 |
28 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |