| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,620 |
8,324 |
$387K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,604 |
1,597 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,475 |
1,388 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,548 |
1,820 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,359 |
788 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,164 |
717 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
369 |
166 |
$10K |
| 99401 |
|
8,742 |
4,808 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,466 |
2,043 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,716 |
2,561 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
32 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,115 |
938 |
$462.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,258 |
910 |
$8.93 |
| 69210 |
|
12 |
12 |
$1.54 |
| 90744 |
|
53 |
53 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
91 |
89 |
$0.00 |
| 90698 |
|
101 |
101 |
$0.00 |
| 90647 |
|
16 |
15 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
92 |
89 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
91 |
89 |
$0.00 |
| 90688 |
|
42 |
42 |
$0.00 |
| 90716 |
|
15 |
12 |
$0.00 |
| 90681 |
|
66 |
66 |
$0.00 |
| 90707 |
|
42 |
37 |
$0.00 |
| 90670 |
|
362 |
277 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
16 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
77 |
77 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
91 |
89 |
$0.00 |