| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,464 |
1,360 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,021 |
990 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
366 |
360 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
369 |
351 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
330 |
328 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
207 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
183 |
$14K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
233 |
225 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
391 |
377 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
67 |
$2K |
| 99188 |
|
184 |
177 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
26 |
$520.22 |
| 36416 |
|
178 |
176 |
$477.81 |
| 92551 |
|
57 |
55 |
$273.11 |
| 99058 |
|
13 |
13 |
$215.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
39 |
$210.80 |
| 90651 |
|
94 |
90 |
$208.90 |
| 94760 |
|
48 |
39 |
$79.59 |
| 85018 |
|
27 |
27 |
$61.02 |
| 90670 |
|
276 |
275 |
$0.00 |
| 99173 |
|
229 |
225 |
$0.00 |
| 90633 |
|
88 |
86 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90710 |
|
91 |
90 |
$0.00 |
| 90734 |
|
60 |
57 |
$0.00 |
| 90461 |
|
18 |
18 |
$0.00 |
| 90680 |
|
154 |
152 |
$0.00 |
| 90647 |
|
153 |
150 |
$0.00 |
| 90686 |
|
142 |
139 |
$0.00 |
| 90723 |
|
174 |
172 |
$0.00 |
| 90696 |
|
16 |
15 |
$0.00 |
| 90688 |
|
47 |
47 |
$0.00 |