| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90682 |
|
5,132 |
5,045 |
$325K |
| J0897 |
Injection, denosumab, 1 mg |
661 |
647 |
$185K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,509 |
1,265 |
$67K |
| 90750 |
|
349 |
349 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,231 |
32,485 |
$52K |
| 92552 |
|
3,272 |
2,787 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
900 |
894 |
$35K |
| 90651 |
|
652 |
560 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
450 |
357 |
$15K |
| 90670 |
|
435 |
435 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,153 |
1,145 |
$9K |
| 90732 |
|
288 |
288 |
$5K |
| 90662 |
|
1,517 |
1,516 |
$5K |
| 90694 |
|
540 |
540 |
$3K |
| 90686 |
|
268 |
265 |
$3K |
| 90656 |
|
217 |
216 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
877 |
801 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
170 |
170 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 93000 |
|
225 |
225 |
$705.73 |
| 90653 |
|
254 |
254 |
$634.95 |
| 90734 |
|
25 |
25 |
$399.28 |
| 96401 |
|
154 |
154 |
$250.39 |
| 90715 |
|
13 |
13 |
$182.76 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
167 |
84 |
$181.31 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
610 |
590 |
$109.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,257 |
1,139 |
$101.03 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
167 |
84 |
$84.68 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
167 |
84 |
$75.94 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
242 |
226 |
$32.32 |
| G0008 |
Administration of influenza virus vaccine |
120 |
120 |
$9.84 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
493 |
492 |
$0.00 |
| 99499 |
|
27 |
26 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
48 |
48 |
$0.00 |