| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,998 |
1,575 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,760 |
1,496 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
295 |
201 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
86 |
$6K |
| 93923 |
|
236 |
92 |
$4K |
| 95251 |
|
257 |
231 |
$3K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
84 |
78 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
63 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
24 |
$1K |
| 82962 |
|
1,059 |
927 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$943.86 |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
43 |
12 |
$901.72 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$861.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
73 |
$761.37 |
| 95923 |
|
117 |
91 |
$759.30 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$702.16 |
| 95924 |
|
116 |
91 |
$668.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
26 |
$366.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
13 |
$231.95 |
| 93040 |
|
95 |
76 |
$215.63 |
| 90670 |
|
91 |
63 |
$210.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
12 |
$160.15 |
| 36415 |
Collection of venous blood by venipuncture |
111 |
85 |
$151.32 |
| 81003 |
|
70 |
49 |
$84.53 |
| 96127 |
|
18 |
12 |
$67.28 |
| 99173 |
|
14 |
13 |
$62.09 |
| 90648 |
|
41 |
28 |
$14.07 |
| 90723 |
|
42 |
28 |
$0.00 |