| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,721 |
5,725 |
$263K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,387 |
1,238 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
589 |
575 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
397 |
389 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
306 |
299 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,437 |
1,385 |
$17K |
| 97803 |
|
456 |
434 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
946 |
900 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
49 |
$5K |
| 97802 |
|
161 |
144 |
$4K |
| 90461 |
|
302 |
281 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,644 |
1,478 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
296 |
219 |
$2K |
| 90686 |
|
164 |
162 |
$515.94 |
| 99318 |
|
33 |
16 |
$178.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
12 |
$39.72 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
74 |
74 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |