| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,545 |
1,279 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
788 |
691 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,278 |
1,063 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
204 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
821 |
791 |
$8K |
| 92551 |
|
971 |
907 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
31 |
$2K |
| 81002 |
|
1,236 |
1,141 |
$2K |
| 97802 |
|
132 |
129 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$910.69 |
| 96127 |
|
83 |
77 |
$238.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
25 |
$206.71 |
| 90686 |
|
56 |
54 |
$19.03 |
| S9451 |
Exercise classes, non-physician provider, per session |
57 |
57 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |
| 99173 |
|
281 |
275 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
14 |
14 |
$0.00 |