| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
797 |
755 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
415 |
400 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
211 |
202 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
196 |
189 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
83 |
$7K |
| 94760 |
|
307 |
299 |
$649.88 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$260.07 |
| 81002 |
|
117 |
114 |
$256.29 |
| 85018 |
|
92 |
90 |
$206.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$191.35 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
117 |
114 |
$4.03 |
| 90698 |
|
58 |
56 |
$0.00 |
| 99000 |
|
127 |
117 |
$0.00 |
| 90680 |
|
53 |
52 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
13 |
$0.00 |
| 90670 |
|
112 |
110 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
30 |
30 |
$0.00 |