| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,138 |
1,095 |
$111K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,606 |
1,583 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,382 |
1,317 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
823 |
752 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
595 |
593 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
342 |
342 |
$34K |
| 99058 |
|
858 |
821 |
$15K |
| 94010 |
|
366 |
354 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
475 |
465 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
229 |
222 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$4K |
| 92567 |
|
315 |
299 |
$4K |
| 99460 |
|
38 |
38 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
72 |
$3K |
| 83655 |
|
222 |
218 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
32 |
$2K |
| 36416 |
|
418 |
410 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
203 |
199 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 92015 |
Determination of refractive state |
722 |
707 |
$850.28 |
| 94667 |
|
31 |
31 |
$634.42 |
| 85018 |
|
279 |
275 |
$545.59 |
| 92587 |
|
894 |
875 |
$414.95 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
28 |
$408.10 |
| 93000 |
|
13 |
13 |
$222.04 |
| 81002 |
|
113 |
108 |
$220.59 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
31 |
31 |
$78.28 |
| A7015 |
Aerosol mask, used with dme nebulizer |
30 |
30 |
$52.24 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
31 |
31 |
$16.35 |
| 94760 |
|
16 |
16 |
$10.44 |
| 90744 |
|
284 |
282 |
$0.00 |
| 90680 |
|
362 |
357 |
$0.00 |
| 90716 |
|
206 |
206 |
$0.00 |
| 90651 |
|
43 |
42 |
$0.00 |
| 90686 |
|
479 |
475 |
$0.00 |
| 99000 |
|
31 |
29 |
$0.00 |
| 90648 |
|
523 |
517 |
$0.00 |
| 90713 |
|
499 |
493 |
$0.00 |
| 90707 |
|
204 |
204 |
$0.00 |
| 90670 |
|
520 |
514 |
$0.00 |
| 90633 |
|
202 |
202 |
$0.00 |
| 90685 |
|
244 |
242 |
$0.00 |
| 90700 |
|
615 |
609 |
$0.00 |