| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90670 |
|
43 |
43 |
$1K |
| 90716 |
|
30 |
30 |
$610.00 |
| 90707 |
|
28 |
28 |
$300.08 |
| 90633 |
|
30 |
30 |
$258.40 |
| 90686 |
|
110 |
110 |
$187.00 |
| 99173 |
|
186 |
186 |
$12.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
839 |
735 |
$10.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
85 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
186 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$0.00 |
| 85018 |
|
168 |
168 |
$0.00 |
| 92551 |
|
179 |
178 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
70 |
$0.00 |
| 36416 |
|
140 |
140 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
36 |
33 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
36 |
33 |
$0.00 |