| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
932 |
802 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
235 |
235 |
$3K |
| 97802 |
|
75 |
75 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
74 |
74 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
36 |
$347.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$195.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
27 |
$160.11 |
| 90686 |
|
91 |
91 |
$130.74 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
28 |
27 |
$31.32 |
| 3008F |
|
75 |
75 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| 99000 |
|
33 |
27 |
$0.00 |