| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,594 |
6,904 |
$383K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,071 |
5,023 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,545 |
1,541 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,558 |
1,553 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,299 |
1,298 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,182 |
1,160 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
443 |
$34K |
| 90461 |
|
1,173 |
1,106 |
$21K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
169 |
169 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
77 |
77 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
172 |
$4K |
| S9470 |
Nutritional counseling, dietitian visit |
5,884 |
5,833 |
$2K |
| 0071A |
|
47 |
47 |
$2K |
| 0001A |
|
29 |
29 |
$826.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
52 |
$253.46 |
| 90686 |
|
1,294 |
1,283 |
$102.87 |
| 91300 |
|
66 |
56 |
$0.01 |
| 90680 |
|
50 |
50 |
$0.00 |
| 91307 |
|
68 |
60 |
$0.00 |
| 90651 |
|
179 |
176 |
$0.00 |
| 90620 |
|
107 |
106 |
$0.00 |
| 90698 |
|
40 |
39 |
$0.00 |
| 90670 |
|
354 |
348 |
$0.00 |
| 90715 |
|
28 |
27 |
$0.00 |
| 90685 |
|
42 |
42 |
$0.00 |
| 90734 |
|
132 |
131 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |