| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,459 |
3,767 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
322 |
$12K |
| 99496 |
|
39 |
32 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
39 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,056 |
515 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
39 |
$2K |
| 3074F |
|
568 |
450 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$713.35 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
15 |
$566.68 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
26 |
$558.70 |
| 97802 |
|
1,102 |
965 |
$502.81 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
197 |
190 |
$94.20 |
| 90670 |
|
13 |
13 |
$94.18 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
532 |
408 |
$12.61 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
270 |
223 |
$0.29 |
| 3078F |
|
319 |
238 |
$0.00 |
| 90461 |
|
19 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
87 |
73 |
$0.00 |