| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,540 |
2,201 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
589 |
571 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,638 |
1,484 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
388 |
373 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
360 |
348 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
310 |
308 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
277 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
565 |
532 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
440 |
410 |
$16K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
424 |
407 |
$9K |
| 92587 |
|
529 |
498 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
54 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
230 |
$3K |
| 90651 |
|
134 |
118 |
$417.68 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$335.98 |
| 90734 |
|
90 |
81 |
$0.00 |
| 90707 |
|
135 |
128 |
$0.00 |
| 90633 |
|
217 |
213 |
$0.00 |
| 90685 |
|
116 |
114 |
$0.00 |
| 90648 |
|
48 |
45 |
$0.00 |
| 90670 |
|
285 |
281 |
$0.00 |
| 90621 |
|
18 |
15 |
$0.00 |
| 90715 |
|
32 |
26 |
$0.00 |
| 90700 |
|
18 |
17 |
$0.00 |
| 90744 |
|
103 |
102 |
$0.00 |
| 90716 |
|
112 |
110 |
$0.00 |
| 90698 |
|
165 |
163 |
$0.00 |
| 99000 |
|
270 |
251 |
$0.00 |
| 90686 |
|
437 |
381 |
$0.00 |
| 90680 |
|
125 |
123 |
$0.00 |