| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,941 |
11,379 |
$1.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,254 |
7,926 |
$1.67M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,224 |
8,022 |
$180K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
494 |
491 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
338 |
333 |
$82K |
| 99215 |
Prolong outpt/office vis |
137 |
131 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
164 |
163 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
149 |
148 |
$37K |
| 92551 |
|
2,792 |
2,751 |
$29K |
| 90686 |
|
2,655 |
2,460 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
513 |
503 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
626 |
617 |
$19K |
| 99173 |
|
1,504 |
1,451 |
$10K |
| 0071A |
|
166 |
166 |
$7K |
| 90461 |
|
364 |
353 |
$6K |
| 0072A |
|
150 |
149 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
190 |
174 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$1K |
| 90670 |
|
30 |
28 |
$516.51 |
| 0001A |
|
12 |
12 |
$480.00 |
| 0002A |
|
12 |
12 |
$361.87 |
| 90685 |
|
46 |
46 |
$228.87 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
55 |
52 |
$81.05 |
| 94760 |
|
1,860 |
1,809 |
$55.58 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90698 |
|
23 |
16 |
$0.00 |