| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,659 |
6,884 |
$671K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,826 |
7,126 |
$565K |
| 99205 |
Prolong outpt/office vis |
953 |
953 |
$180K |
| 99406 |
|
2,182 |
2,037 |
$29K |
| 99215 |
Prolong outpt/office vis |
98 |
98 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
138 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
585 |
582 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
142 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
42 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
273 |
266 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
83 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
25 |
$446.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$182.91 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
27 |
24 |
$54.54 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
12 |
$2.21 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90658 |
|
19 |
19 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 90651 |
|
33 |
33 |
$0.00 |