| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,821 |
5,307 |
$447K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,274 |
6,559 |
$378K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,870 |
3,798 |
$287K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,201 |
3,195 |
$253K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,960 |
5,910 |
$236K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,338 |
2,331 |
$188K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
724 |
723 |
$66K |
| 99460 |
|
196 |
195 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
169 |
168 |
$9K |
| 99215 |
Prolong outpt/office vis |
35 |
23 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
103 |
$3K |
| 92551 |
|
1,182 |
1,168 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
295 |
285 |
$2K |
| 99462 |
|
16 |
14 |
$453.46 |
| 99173 |
|
1,003 |
990 |
$432.34 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
22 |
$361.18 |
| 90670 |
|
1,903 |
1,858 |
$232.17 |
| 90710 |
|
732 |
713 |
$96.04 |
| 90698 |
|
1,644 |
1,600 |
$82.73 |
| 81002 |
|
30 |
27 |
$60.13 |
| A7015 |
Aerosol mask, used with dme nebulizer |
29 |
19 |
$11.25 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
24 |
22 |
$0.92 |
| 90633 |
|
795 |
777 |
$0.00 |
| 90671 |
|
53 |
53 |
$0.00 |
| 90734 |
|
62 |
62 |
$0.00 |
| 90680 |
|
1,525 |
1,501 |
$0.00 |
| 90744 |
|
833 |
816 |
$0.00 |
| 90686 |
|
493 |
486 |
$0.00 |
| 90696 |
|
100 |
96 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |