| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,758 |
3,283 |
$227K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,555 |
911 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,175 |
763 |
$65K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,364 |
2,969 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,049 |
596 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,241 |
2,451 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,888 |
1,061 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
593 |
370 |
$34K |
| 99058 |
|
2,727 |
1,503 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,534 |
1,264 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
569 |
311 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
361 |
169 |
$15K |
| 99383 |
|
329 |
184 |
$15K |
| 96160 |
|
7,172 |
3,883 |
$11K |
| 99382 |
|
255 |
127 |
$10K |
| 97803 |
|
9,541 |
5,136 |
$7K |
| 99381 |
|
175 |
84 |
$7K |
| 99384 |
|
103 |
58 |
$5K |
| 97802 |
|
1,739 |
926 |
$5K |
| 99050 |
|
462 |
315 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,808 |
2,223 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
526 |
334 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
376 |
187 |
$3K |
| 94760 |
|
3,634 |
2,370 |
$3K |
| 90474 |
|
187 |
95 |
$777.87 |
| 90473 |
|
624 |
266 |
$397.88 |
| 90687 |
|
168 |
121 |
$164.88 |
| 81003 |
|
113 |
62 |
$117.92 |
| 90644 |
|
320 |
178 |
$49.89 |
| 96150 |
|
300 |
167 |
$16.61 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
163 |
55 |
$0.18 |
| 90670 |
|
315 |
233 |
$0.00 |
| 90649 |
|
178 |
121 |
$0.00 |
| 90633 |
|
257 |
147 |
$0.00 |
| 90715 |
|
24 |
13 |
$0.00 |
| 90710 |
|
100 |
71 |
$0.00 |
| 90734 |
|
128 |
83 |
$0.00 |
| 90686 |
|
824 |
547 |
$0.00 |
| 90680 |
|
233 |
147 |
$0.00 |
| 80329 |
|
217 |
111 |
$0.00 |
| 90723 |
|
110 |
92 |
$0.00 |
| 90696 |
|
32 |
16 |
$0.00 |
| 90698 |
|
16 |
14 |
$0.00 |