| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,224 |
10,093 |
$274K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,048 |
4,033 |
$167K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,754 |
3,743 |
$144K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,403 |
3,228 |
$141K |
| 90461 |
|
4,916 |
4,883 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,242 |
2,236 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,309 |
6,062 |
$48K |
| 90697 |
|
209 |
197 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,517 |
1,494 |
$12K |
| 90734 |
|
501 |
494 |
$10K |
| 90670 |
|
949 |
929 |
$8K |
| 90651 |
|
397 |
394 |
$7K |
| 92587 |
|
260 |
257 |
$4K |
| 99381 |
|
69 |
69 |
$3K |
| 99173 |
|
2,996 |
2,987 |
$3K |
| 90656 |
|
269 |
269 |
$2K |
| 90716 |
|
115 |
113 |
$2K |
| 99383 |
|
26 |
26 |
$1K |
| 90633 |
|
487 |
482 |
$983.83 |
| 90657 |
|
1,202 |
1,196 |
$950.52 |
| 90707 |
|
130 |
129 |
$911.45 |
| 90723 |
|
26 |
26 |
$870.65 |
| 90710 |
|
171 |
171 |
$750.00 |
| 90715 |
|
97 |
94 |
$699.79 |
| 90698 |
|
248 |
243 |
$693.03 |
| 90658 |
|
47 |
47 |
$679.01 |
| 90655 |
|
488 |
486 |
$591.94 |
| 90696 |
|
135 |
135 |
$476.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
368 |
367 |
$331.47 |
| 92551 |
|
252 |
251 |
$304.24 |
| 90681 |
|
56 |
56 |
$260.88 |
| 90680 |
|
277 |
267 |
$186.38 |
| 90647 |
|
90 |
87 |
$116.49 |
| 86580 |
|
17 |
17 |
$73.53 |
| 90744 |
|
71 |
68 |
$67.35 |
| 90700 |
|
28 |
26 |
$29.31 |
| 90648 |
|
12 |
12 |
$12.92 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |