| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,586 |
5,247 |
$545K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,093 |
4,600 |
$339K |
| 94060 |
|
3,444 |
3,408 |
$201K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,265 |
3,239 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
864 |
856 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
705 |
698 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,375 |
1,367 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
421 |
417 |
$42K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,345 |
1,311 |
$28K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,209 |
2,057 |
$25K |
| 94664 |
|
1,019 |
910 |
$12K |
| 94760 |
|
4,759 |
4,316 |
$9K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
4,265 |
4,081 |
$9K |
| 95012 |
|
534 |
513 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
80 |
$8K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
1,404 |
1,302 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
149 |
$3K |
| 92567 |
|
234 |
198 |
$3K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
2,828 |
2,754 |
$562.67 |
| 90461 |
|
15 |
15 |
$448.98 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
59 |
57 |
$444.47 |
| A4617 |
Mouth piece |
15 |
15 |
$42.25 |
| 90686 |
|
2,077 |
2,069 |
$0.00 |
| 99000 |
|
208 |
200 |
$0.00 |
| 90620 |
|
111 |
110 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 99173 |
|
20 |
20 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 90685 |
|
50 |
50 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |