| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,285 |
6,448 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,398 |
7,313 |
$185K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,963 |
2,717 |
$149K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,636 |
2,358 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,721 |
1,613 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,175 |
1,092 |
$62K |
| 90677 |
|
156 |
151 |
$20K |
| 92081 |
|
2,222 |
2,089 |
$15K |
| 92551 |
|
3,530 |
3,338 |
$13K |
| 90670 |
|
652 |
530 |
$5K |
| 90686 |
|
861 |
815 |
$5K |
| 90707 |
|
387 |
315 |
$4K |
| 90700 |
|
1,492 |
1,255 |
$3K |
| 90713 |
|
1,103 |
911 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
58 |
$3K |
| 81000 |
|
2,589 |
2,484 |
$2K |
| 90734 |
|
98 |
87 |
$2K |
| 99205 |
Prolong outpt/office vis |
48 |
36 |
$2K |
| 99460 |
|
24 |
22 |
$2K |
| 90716 |
|
65 |
52 |
$1K |
| 90648 |
|
1,212 |
981 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
24 |
22 |
$1K |
| 3008F |
|
639 |
601 |
$996.00 |
| 99462 |
|
22 |
19 |
$804.70 |
| 90744 |
|
405 |
341 |
$800.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
364 |
308 |
$716.85 |
| 81002 |
|
491 |
454 |
$518.34 |
| 90715 |
|
32 |
29 |
$336.99 |
| 90461 |
|
27 |
19 |
$104.81 |