| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
740 |
656 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
374 |
332 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
117 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
86 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
81 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
45 |
$6K |
| 99490 |
Ccm add 20min |
44 |
43 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$950.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
54 |
$205.75 |
| 99174 |
|
208 |
195 |
$63.54 |
| 90686 |
|
70 |
62 |
$39.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
40 |
$0.00 |
| 90670 |
|
67 |
67 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
91 |
79 |
$0.00 |
| 96160 |
|
19 |
19 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
288 |
274 |
$0.00 |
| 94664 |
|
56 |
50 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
240 |
222 |
$0.00 |
| 90651 |
|
35 |
35 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
91 |
79 |
$0.00 |
| 99058 |
|
307 |
279 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
92 |
80 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
336 |
316 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
108 |
101 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
58 |
52 |
$0.00 |
| 97802 |
|
241 |
223 |
$0.00 |
| 94760 |
|
30 |
27 |
$0.00 |