| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,600 |
723 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
386 |
180 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
336 |
161 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
113 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
922 |
383 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
466 |
226 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
71 |
$5K |
| 99058 |
|
644 |
299 |
$5K |
| 97803 |
|
2,381 |
1,107 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
54 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
626 |
236 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
267 |
124 |
$2K |
| 99050 |
|
324 |
153 |
$2K |
| 99381 |
|
64 |
33 |
$2K |
| 94760 |
|
3,279 |
1,418 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
77 |
39 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
106 |
$1K |
| 99383 |
|
32 |
17 |
$932.77 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
160 |
57 |
$733.09 |
| 97802 |
|
267 |
128 |
$726.16 |
| 99382 |
|
35 |
14 |
$675.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,001 |
384 |
$596.60 |
| 90474 |
|
150 |
55 |
$366.79 |
| 96160 |
|
69 |
40 |
$102.69 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
101 |
28 |
$0.00 |
| 90686 |
|
99 |
40 |
$0.00 |
| 80329 |
|
85 |
29 |
$0.00 |
| 90670 |
|
100 |
43 |
$0.00 |
| 90633 |
|
45 |
26 |
$0.00 |
| 90644 |
|
46 |
27 |
$0.00 |