| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,119 |
1,890 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
662 |
642 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,340 |
1,289 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
486 |
473 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
458 |
436 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
126 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
108 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
114 |
113 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
107 |
102 |
$2K |
| 99382 |
|
14 |
14 |
$2K |
| 36416 |
|
159 |
159 |
$748.86 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$420.00 |
| 99188 |
|
27 |
26 |
$319.80 |
| 90734 |
|
67 |
67 |
$0.00 |
| 90633 |
|
184 |
180 |
$0.00 |
| 90707 |
|
172 |
164 |
$0.00 |
| 90670 |
|
394 |
390 |
$0.00 |
| 90648 |
|
90 |
90 |
$0.00 |
| 90655 |
|
48 |
47 |
$0.00 |
| 90680 |
|
179 |
179 |
$0.00 |
| 90656 |
|
158 |
153 |
$0.00 |
| 90698 |
|
145 |
144 |
$0.00 |
| 90716 |
|
187 |
179 |
$0.00 |
| 90651 |
|
69 |
68 |
$0.00 |
| 90696 |
|
44 |
41 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 90723 |
|
58 |
56 |
$0.00 |