| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
840 |
823 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
419 |
387 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
579 |
548 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
324 |
321 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
286 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
174 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
205 |
200 |
$5K |
| 99188 |
|
371 |
367 |
$4K |
| 69210 |
|
26 |
26 |
$907.27 |
| 36416 |
|
177 |
175 |
$648.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
25 |
$524.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$283.00 |
| 90651 |
|
47 |
47 |
$208.85 |
| 92551 |
|
43 |
43 |
$198.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$79.16 |
| 94760 |
|
41 |
40 |
$78.30 |
| 90734 |
|
16 |
16 |
$0.00 |
| 99173 |
|
225 |
220 |
$0.00 |
| 90670 |
|
285 |
281 |
$0.00 |
| 90633 |
|
73 |
72 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90685 |
|
58 |
58 |
$0.00 |
| 90710 |
|
73 |
72 |
$0.00 |
| 90680 |
|
211 |
208 |
$0.00 |
| 90686 |
|
140 |
137 |
$0.00 |
| 90647 |
|
166 |
163 |
$0.00 |
| 90723 |
|
84 |
82 |
$0.00 |