| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
72 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
35 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
71 |
$895.31 |
| 90461 |
|
12 |
12 |
$239.59 |
| 96127 |
|
13 |
13 |
$92.43 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
83 |
83 |
$0.83 |
| 90658 |
|
13 |
13 |
$0.00 |