| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,403 |
1,334 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
612 |
579 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,052 |
1,044 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
398 |
397 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
598 |
575 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
136 |
$13K |
| 99058 |
|
491 |
483 |
$9K |
| 99381 |
|
82 |
82 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
593 |
297 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
583 |
573 |
$6K |
| 99383 |
|
48 |
48 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$4K |
| 99382 |
|
27 |
26 |
$3K |
| 83655 |
|
188 |
188 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$770.09 |
| 85018 |
|
314 |
313 |
$665.96 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
17 |
$265.51 |
| 90651 |
|
21 |
21 |
$208.84 |
| 99188 |
|
13 |
13 |
$159.90 |
| 36416 |
|
39 |
37 |
$144.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
15 |
$3.08 |
| 90680 |
|
234 |
232 |
$0.00 |
| 90744 |
|
116 |
116 |
$0.00 |
| 90723 |
|
130 |
130 |
$0.00 |
| 90686 |
|
182 |
182 |
$0.00 |
| 90698 |
|
159 |
158 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90710 |
|
127 |
127 |
$0.00 |
| 90670 |
|
400 |
400 |
$0.00 |
| 90633 |
|
210 |
210 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90685 |
|
97 |
97 |
$0.00 |
| 90648 |
|
171 |
171 |
$0.00 |