| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,262 |
6,109 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
872 |
870 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,036 |
1,035 |
$23K |
| 92552 |
|
2,203 |
2,192 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
580 |
567 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
134 |
134 |
$6K |
| 85018 |
|
2,875 |
2,846 |
$4K |
| 90686 |
|
950 |
943 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
404 |
160 |
$3K |
| 99173 |
|
1,059 |
1,058 |
$2K |
| 81003 |
|
1,028 |
1,026 |
$2K |
| 86580 |
|
563 |
561 |
$1K |
| 92082 |
|
1,114 |
1,106 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
590 |
562 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,688 |
1,641 |
$1K |
| 97803 |
|
674 |
661 |
$956.45 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
41 |
$921.10 |
| 81000 |
|
1,287 |
1,274 |
$831.26 |
| 99401 |
|
996 |
984 |
$720.00 |
| 90651 |
|
116 |
114 |
$429.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
20 |
$250.48 |
| 83655 |
|
46 |
44 |
$197.62 |
| 90707 |
|
28 |
27 |
$94.00 |
| 90716 |
|
28 |
27 |
$94.00 |
| 90688 |
|
101 |
101 |
$85.00 |
| 90670 |
|
26 |
25 |
$45.00 |
| 90633 |
|
13 |
12 |
$36.00 |
| 90621 |
|
12 |
12 |
$20.00 |
| 90734 |
|
25 |
25 |
$9.00 |
| 99421 |
|
65 |
55 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 99495 |
|
32 |
31 |
$0.00 |