| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,208 |
1,039 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
270 |
270 |
$3K |
| 90461 |
|
101 |
101 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
119 |
118 |
$853.20 |
| 96127 |
|
75 |
75 |
$547.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
33 |
$438.26 |
| 85018 |
|
15 |
15 |
$30.75 |
| 90633 |
|
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
186 |
186 |
$0.00 |
| 90686 |
|
47 |
47 |
$0.00 |