| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
984 |
711 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
325 |
229 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
97 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
305 |
$784.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
56 |
42 |
$230.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$110.00 |
| 86403 |
|
25 |
18 |
$44.58 |
| 99408 |
|
79 |
67 |
$25.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
49 |
$0.17 |
| 1159F |
|
70 |
67 |
$0.00 |
| 1160F |
|
40 |
37 |
$0.00 |
| 96160 |
|
51 |
48 |
$0.00 |
| 3016F |
|
16 |
14 |
$0.00 |
| 4120F |
|
31 |
27 |
$0.00 |
| 4133F |
|
14 |
12 |
$0.00 |
| 1003F |
|
13 |
12 |
$0.00 |
| 1000F |
|
387 |
290 |
$0.00 |
| 1036F |
|
91 |
83 |
$0.00 |
| 2001F |
|
18 |
17 |
$0.00 |
| 3008F |
|
534 |
472 |
$0.00 |
| 3351F |
|
392 |
299 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
31 |
27 |
$0.00 |
| 2010F |
|
82 |
72 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 1126F |
|
16 |
16 |
$0.00 |
| 90657 |
|
15 |
14 |
$0.00 |
| 94760 |
|
18 |
15 |
$0.00 |