| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
247 |
244 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
153 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
97 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
86 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
425 |
424 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
44 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
220 |
215 |
$3K |
| 94010 |
|
51 |
49 |
$2K |
| 90688 |
|
104 |
104 |
$695.76 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$694.20 |
| 80061 |
Lipid panel |
39 |
39 |
$641.58 |
| 96161 |
|
48 |
46 |
$183.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$177.36 |
| 96160 |
|
28 |
28 |
$62.55 |
| 99173 |
|
13 |
13 |
$35.00 |
| 3008F |
|
348 |
347 |
$0.00 |
| 92551 |
|
17 |
17 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 2014F |
|
146 |
145 |
$0.00 |
| 90670 |
|
36 |
36 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |