| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
444 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213 |
189 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
55 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
52 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
254 |
240 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
28 |
$2K |
| 90651 |
|
15 |
14 |
$860.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
27 |
$808.02 |
| 90670 |
|
38 |
38 |
$592.70 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
226 |
215 |
$553.73 |
| 90461 |
|
127 |
122 |
$518.40 |
| 90734 |
|
15 |
14 |
$503.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
17 |
$267.21 |
| 81002 |
|
88 |
76 |
$240.96 |
| 99173 |
|
54 |
49 |
$124.32 |
| 99000 |
|
209 |
198 |
$11.58 |
| 36416 |
|
19 |
16 |
$3.30 |
| 94760 |
|
354 |
296 |
$2.82 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
17 |
17 |
$1.26 |