| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
664 |
632 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
381 |
378 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
227 |
218 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
216 |
214 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
95 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
61 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
55 |
$677.99 |
| 81002 |
|
261 |
254 |
$569.30 |
| 94760 |
|
251 |
241 |
$531.17 |
| 85018 |
|
87 |
87 |
$190.18 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
260 |
254 |
$6.76 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
48 |
48 |
$0.00 |
| 90698 |
|
86 |
86 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 99000 |
|
225 |
204 |
$0.00 |
| 90680 |
|
52 |
52 |
$0.00 |
| 90670 |
|
181 |
180 |
$0.00 |
| 99051 |
|
22 |
22 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |