| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
511 |
454 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
400 |
388 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
226 |
212 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
96 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
75 |
73 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
184 |
178 |
$7K |
| 99460 |
|
62 |
60 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
43 |
41 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
228 |
220 |
$3K |
| 99381 |
|
13 |
12 |
$1K |
| 85018 |
|
212 |
207 |
$532.51 |
| 94760 |
|
215 |
189 |
$524.43 |
| 81002 |
|
218 |
210 |
$459.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
20 |
$225.28 |
| 87807 |
|
15 |
13 |
$141.68 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$12.35 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
217 |
209 |
$7.54 |
| 90670 |
|
166 |
160 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
13 |
$0.00 |
| 99000 |
|
397 |
345 |
$0.00 |
| 90698 |
|
81 |
76 |
$0.00 |
| 90680 |
|
67 |
62 |
$0.00 |
| 90744 |
|
31 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |