| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
683 |
622 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
335 |
322 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
394 |
386 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
128 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
241 |
238 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
59 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
48 |
47 |
$5K |
| 99460 |
|
53 |
51 |
$4K |
| 99381 |
|
22 |
22 |
$2K |
| 94760 |
|
264 |
239 |
$631.65 |
| 85018 |
|
121 |
121 |
$274.51 |
| 81002 |
|
46 |
44 |
$84.73 |
| 84030 |
|
13 |
13 |
$70.85 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
46 |
44 |
$1.95 |
| 90698 |
|
45 |
44 |
$0.00 |
| 99000 |
|
120 |
98 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
14 |
$0.00 |
| 90680 |
|
41 |
40 |
$0.00 |
| 90670 |
|
126 |
124 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |