| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
568 |
490 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
116 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
112 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
75 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
63 |
$6K |
| 90461 |
|
167 |
166 |
$4K |
| 99070 |
|
665 |
572 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
307 |
305 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
38 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
141 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
69 |
$1K |
| 97802 |
|
185 |
185 |
$942.90 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
244 |
244 |
$797.64 |
| 81003 |
|
258 |
250 |
$439.47 |
| 88738 |
|
102 |
102 |
$390.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
38 |
35 |
$384.80 |
| 83655 |
|
40 |
40 |
$369.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$318.22 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
136 |
$251.52 |
| 85018 |
|
46 |
46 |
$81.00 |
| 90734 |
|
36 |
36 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 94760 |
|
64 |
58 |
$0.00 |
| 90686 |
|
109 |
109 |
$0.00 |
| 90698 |
|
27 |
27 |
$0.00 |
| 90651 |
|
40 |
40 |
$0.00 |