| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,962 |
2,903 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,502 |
2,276 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,197 |
2,870 |
$159K |
| 99223 |
Prolong inpt eval add15 m |
994 |
961 |
$154K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,624 |
1,426 |
$113K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
852 |
816 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
954 |
899 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
527 |
510 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
245 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
208 |
147 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
124 |
$4K |
| 81002 |
|
1,424 |
1,317 |
$4K |
| 85018 |
|
1,277 |
1,184 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
182 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$996.70 |
| 99173 |
|
424 |
406 |
$736.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
52 |
$520.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$167.24 |
| 99174 |
|
28 |
28 |
$132.89 |
| 90686 |
|
398 |
342 |
$17.70 |
| 90649 |
|
48 |
44 |
$11.73 |
| 90670 |
|
706 |
633 |
$8.48 |
| 90680 |
|
340 |
319 |
$7.32 |
| 90648 |
|
417 |
382 |
$5.51 |
| 90723 |
|
181 |
171 |
$0.01 |
| 90698 |
|
28 |
24 |
$0.01 |
| 90685 |
|
44 |
40 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90633 |
|
50 |
38 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90620 |
|
40 |
37 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |