| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,753 |
1,548 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261 |
252 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
254 |
247 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
208 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
209 |
205 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
692 |
677 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
164 |
151 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
402 |
392 |
$7K |
| 99050 |
|
438 |
406 |
$5K |
| 99058 |
|
309 |
300 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
113 |
107 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
95 |
94 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
384 |
365 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$317.26 |
| 90473 |
|
12 |
12 |
$50.82 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
83 |
82 |
$21.23 |
| 90656 |
|
166 |
165 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90651 |
|
43 |
43 |
$0.00 |
| 90670 |
|
137 |
136 |
$0.00 |
| 90648 |
|
43 |
42 |
$0.00 |
| 90633 |
|
29 |
29 |
$0.00 |
| 90734 |
|
67 |
65 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |