| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,722 |
2,507 |
$169K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
512 |
505 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
246 |
246 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
89 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
440 |
440 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
281 |
274 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
37 |
37 |
$955.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
23 |
$323.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$242.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
143 |
143 |
$150.30 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
13 |
$117.92 |
| 96160 |
|
168 |
168 |
$0.00 |
| 90670 |
|
36 |
36 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |