| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,127 |
4,104 |
$248K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,409 |
1,155 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
933 |
845 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
757 |
696 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
352 |
320 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
480 |
465 |
$7K |
| 90670 |
|
494 |
459 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
178 |
163 |
$5K |
| 90686 |
|
428 |
392 |
$5K |
| 87428 |
|
66 |
65 |
$4K |
| 90680 |
|
232 |
204 |
$4K |
| 90677 |
|
174 |
158 |
$4K |
| 90697 |
|
155 |
136 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
55 |
53 |
$2K |
| 90723 |
|
124 |
113 |
$2K |
| 0071A |
|
35 |
32 |
$1K |
| 90647 |
|
116 |
109 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| 90633 |
|
83 |
79 |
$1K |
| 90656 |
|
65 |
64 |
$1K |
| 99460 |
|
13 |
13 |
$751.01 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
27 |
$319.00 |
| J7510 |
Prednisolone oral, per 5 mg |
14 |
14 |
$12.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
997 |
880 |
$0.00 |
| 90461 |
|
271 |
259 |
$0.00 |