| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
613 |
567 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
129 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90686 |
|
30 |
30 |
$49.33 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
183 |
169 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 99173 |
|
61 |
59 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 92551 |
|
59 |
57 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
101 |
94 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |