| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,015 |
919 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
181 |
174 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
137 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
287 |
274 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
98 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
36 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
68 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
88 |
$1K |
| 94760 |
|
644 |
579 |
$1K |
| 99070 |
|
51 |
51 |
$697.51 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
35 |
34 |
$576.40 |
| 87999 |
|
39 |
38 |
$489.09 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
36 |
$391.67 |
| 92587 |
|
61 |
60 |
$352.48 |
| 99174 |
|
197 |
194 |
$260.40 |
| G0271 |
Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
35 |
35 |
$190.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$161.00 |
| 81002 |
|
12 |
12 |
$30.32 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
14 |
12 |
$12.46 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
15 |
12 |
$7.76 |
| 90744 |
|
14 |
14 |
$0.00 |
| 99000 |
|
124 |
115 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
25 |
24 |
$0.00 |
| 90670 |
|
44 |
44 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |