| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
457 |
435 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
282 |
276 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
91 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
140 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
53 |
$5K |
| 99460 |
|
40 |
37 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
32 |
29 |
$3K |
| 94760 |
|
171 |
162 |
$392.76 |
| 81002 |
|
83 |
81 |
$151.43 |
| 85018 |
|
29 |
28 |
$59.58 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
71 |
69 |
$3.25 |
| 90680 |
|
13 |
13 |
$0.00 |
| 99000 |
|
51 |
46 |
$0.00 |
| 90670 |
|
45 |
45 |
$0.00 |