| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,055 |
5,089 |
$741K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
148 |
127 |
$14K |
| 99051 |
|
1,863 |
1,286 |
$12K |
| 90686 |
|
745 |
542 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
102 |
$10K |
| 2015F |
|
986 |
679 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
56 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
65 |
$4K |
| 94760 |
|
1,404 |
761 |
$1K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
207 |
67 |
$518.98 |
| 90656 |
|
21 |
21 |
$442.32 |
| 94664 |
|
190 |
67 |
$350.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
190 |
66 |
$326.70 |
| 90734 |
|
12 |
12 |
$279.36 |
| 96127 |
|
39 |
32 |
$157.78 |
| 90648 |
|
43 |
12 |
$139.68 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
177 |
63 |
$1.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
103 |
55 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
336 |
188 |
$0.00 |