| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,030 |
1,879 |
$134K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
499 |
486 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
452 |
433 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
811 |
788 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
398 |
387 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
221 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
180 |
175 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
113 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
70 |
$8K |
| 76140 |
|
104 |
103 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
555 |
302 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
519 |
504 |
$5K |
| 99050 |
|
218 |
208 |
$3K |
| 99383 |
|
31 |
30 |
$3K |
| 94760 |
|
1,102 |
1,050 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
96 |
$2K |
| 99382 |
|
16 |
16 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
104 |
102 |
$2K |
| 99188 |
|
75 |
75 |
$901.59 |
| 94664 |
|
104 |
102 |
$739.10 |
| 81002 |
|
78 |
72 |
$165.66 |
| J7645 |
Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
28 |
27 |
$111.60 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
105 |
102 |
$100.29 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
92 |
90 |
$18.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
49 |
48 |
$11.30 |
| 90680 |
|
47 |
47 |
$0.00 |
| 90647 |
|
52 |
49 |
$0.00 |
| 90698 |
|
88 |
85 |
$0.00 |
| 90686 |
|
91 |
90 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 90733 |
|
40 |
40 |
$0.00 |
| 90651 |
|
79 |
79 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90744 |
|
73 |
69 |
$0.00 |
| 90633 |
|
154 |
151 |
$0.00 |
| 90670 |
|
225 |
219 |
$0.00 |
| 90710 |
|
134 |
129 |
$0.00 |
| 90715 |
|
52 |
52 |
$0.00 |