| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
497 |
472 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
333 |
325 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
181 |
173 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
169 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
81 |
79 |
$7K |
| 99460 |
|
86 |
82 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
138 |
137 |
$6K |
| 99381 |
|
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 94760 |
|
198 |
183 |
$478.95 |
| 81002 |
|
50 |
50 |
$84.49 |
| 85018 |
|
37 |
37 |
$75.24 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
50 |
50 |
$1.82 |
| G8482 |
Influenza immunization administered or previously received |
49 |
47 |
$0.00 |
| 90670 |
|
117 |
115 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
29 |
$0.00 |
| 90680 |
|
64 |
63 |
$0.00 |
| 99000 |
|
104 |
95 |
$0.00 |
| 90744 |
|
32 |
32 |
$0.00 |
| 90698 |
|
80 |
79 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |