| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,076 |
2,839 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,847 |
1,743 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
659 |
642 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,239 |
1,211 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
548 |
536 |
$36K |
| 92551 |
|
2,432 |
2,385 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
614 |
588 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
383 |
377 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
339 |
336 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
839 |
809 |
$16K |
| 99173 |
|
2,444 |
2,396 |
$9K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
317 |
305 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
54 |
$2K |
| 90473 |
|
42 |
41 |
$832.96 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
66 |
56 |
$552.72 |
| 99070 |
|
116 |
57 |
$220.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$200.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
70 |
$147.24 |
| 81002 |
|
46 |
43 |
$129.50 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
42 |
38 |
$32.47 |
| 90633 |
|
123 |
119 |
$0.02 |
| 90716 |
|
111 |
100 |
$0.01 |
| 90744 |
|
82 |
81 |
$0.01 |
| 90707 |
|
114 |
103 |
$0.01 |
| 90713 |
|
200 |
192 |
$0.01 |
| 90734 |
|
70 |
70 |
$0.01 |
| 90680 |
|
68 |
67 |
$0.00 |
| 90651 |
|
102 |
100 |
$0.00 |
| 90686 |
|
59 |
59 |
$0.00 |
| 90670 |
|
199 |
197 |
$0.00 |
| 90685 |
|
38 |
38 |
$0.00 |
| 90648 |
|
169 |
165 |
$0.00 |
| 90700 |
|
253 |
245 |
$0.00 |
| 90715 |
|
15 |
14 |
$0.00 |