| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,631 |
4,580 |
$449K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,337 |
961 |
$83K |
| 90834 |
Psychotherapy, 45 minutes with patient |
211 |
123 |
$12K |
| 97124 |
|
303 |
116 |
$9K |
| 99406 |
|
829 |
747 |
$6K |
| 99497 |
|
132 |
124 |
$4K |
| 99401 |
|
193 |
175 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
52 |
$3K |
| 82044 |
|
711 |
681 |
$3K |
| 81002 |
|
1,274 |
1,227 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,309 |
1,220 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
334 |
318 |
$3K |
| 94010 |
|
95 |
94 |
$2K |
| 93000 |
|
188 |
177 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99443 |
|
13 |
12 |
$968.84 |
| 96160 |
|
331 |
319 |
$793.50 |
| 96127 |
|
272 |
262 |
$707.50 |
| 99442 |
|
14 |
14 |
$686.70 |
| 94060 |
|
32 |
32 |
$624.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
43 |
$340.08 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
16 |
12 |
$217.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$179.07 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$121.08 |
| 80305 |
|
12 |
12 |
$73.56 |
| 1220F |
|
438 |
424 |
$5.96 |
| 1030F |
|
725 |
701 |
$5.96 |
| 99173 |
|
171 |
165 |
$5.96 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
192 |
176 |
$0.24 |
| 3078F |
|
676 |
642 |
$0.18 |
| 3074F |
|
686 |
657 |
$0.16 |
| 3075F |
|
47 |
42 |
$0.04 |
| 3079F |
|
89 |
80 |
$0.01 |
| 3008F |
|
1,785 |
1,331 |
$0.00 |
| 3351F |
|
93 |
88 |
$0.00 |
| 1022F |
|
226 |
222 |
$0.00 |
| 1170F |
|
30 |
28 |
$0.00 |
| 1036F |
|
89 |
86 |
$0.00 |
| 3354F |
|
12 |
12 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |
| 1158F |
|
29 |
28 |
$0.00 |
| 1160F |
|
29 |
28 |
$0.00 |