| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,340 |
8,372 |
$887K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,751 |
2,608 |
$278K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,056 |
2,039 |
$269K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,490 |
3,312 |
$219K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,729 |
1,711 |
$195K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,203 |
1,143 |
$156K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,413 |
4,380 |
$20K |
| 99383 |
|
25 |
25 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,040 |
1,012 |
$2K |
| 99215 |
Prolong outpt/office vis |
31 |
31 |
$2K |
| 90461 |
|
403 |
403 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,305 |
1,269 |
$520.71 |
| 97802 |
|
12 |
12 |
$387.75 |
| 85013 |
|
1,311 |
1,300 |
$43.53 |
| 83655 |
|
190 |
190 |
$39.51 |
| 69210 |
|
40 |
40 |
$31.91 |
| 85018 |
|
1,319 |
1,308 |
$30.94 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
218 |
204 |
$10.68 |
| 96127 |
|
13 |
13 |
$9.08 |
| 81002 |
|
42 |
40 |
$2.09 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
217 |
204 |
$0.05 |
| 99173 |
|
1,001 |
994 |
$0.00 |
| 96161 |
|
27 |
27 |
$0.00 |
| 87807 |
|
13 |
13 |
$0.00 |