| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,052 |
18,578 |
$1.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,914 |
5,157 |
$462K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,597 |
4,531 |
$191K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,301 |
2,279 |
$189K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,015 |
2,000 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,995 |
1,854 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,342 |
1,334 |
$123K |
| 94664 |
|
868 |
813 |
$12K |
| 99381 |
|
30 |
30 |
$3K |
| 99383 |
|
25 |
25 |
$2K |
| 90670 |
|
1,081 |
1,037 |
$62.27 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
148 |
138 |
$62.02 |
| 90698 |
|
773 |
738 |
$40.00 |
| 90685 |
|
51 |
50 |
$30.86 |
| 90734 |
|
188 |
182 |
$20.00 |
| 90688 |
|
685 |
641 |
$15.69 |
| 90680 |
|
436 |
416 |
$10.00 |
| 90633 |
|
299 |
286 |
$0.36 |
| 90716 |
|
255 |
239 |
$0.26 |
| 90707 |
|
279 |
261 |
$0.26 |
| 90744 |
|
278 |
262 |
$0.00 |
| 90651 |
|
108 |
104 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90715 |
|
31 |
30 |
$0.00 |
| 90671 |
|
86 |
79 |
$0.00 |