| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
595 |
513 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
336 |
291 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
108 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
71 |
70 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
131 |
128 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
186 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
136 |
132 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
21 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
36 |
35 |
$556.34 |
| 94760 |
|
82 |
67 |
$69.44 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
22 |
21 |
$3.05 |
| A4616 |
Tubing (oxygen), per foot |
39 |
38 |
$2.52 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90670 |
|
90 |
87 |
$0.00 |
| 90686 |
|
24 |
23 |
$0.00 |
| 90698 |
|
63 |
60 |
$0.00 |
| 99000 |
|
20 |
20 |
$0.00 |
| 90680 |
|
57 |
55 |
$0.00 |
| 90744 |
|
29 |
28 |
$0.00 |