| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,321 |
6,530 |
$490K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,930 |
2,921 |
$110K |
| 92552 |
|
1,774 |
1,773 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
522 |
522 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
430 |
430 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
320 |
319 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
296 |
290 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
134 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,424 |
1,343 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
988 |
495 |
$9K |
| 97802 |
|
1,564 |
1,564 |
$6K |
| 90461 |
|
182 |
178 |
$5K |
| 87070 |
|
1,212 |
1,159 |
$3K |
| 85018 |
|
1,915 |
1,910 |
$3K |
| 99177 |
|
810 |
810 |
$3K |
| 87184 |
|
1,198 |
1,144 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 81002 |
|
305 |
302 |
$588.01 |
| 99051 |
|
114 |
110 |
$565.67 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
89 |
89 |
$560.70 |
| 99072 |
|
539 |
524 |
$400.00 |
| 99050 |
|
14 |
13 |
$99.97 |
| 90656 |
|
26 |
26 |
$67.05 |
| 90686 |
|
86 |
86 |
$56.26 |
| 36416 |
|
1,716 |
1,715 |
$1.59 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |