| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,568 |
1,359 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
631 |
617 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
346 |
333 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
280 |
280 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,369 |
1,267 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
120 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
167 |
164 |
$3K |
| 90620 |
|
12 |
12 |
$163.84 |
| 85018 |
|
27 |
26 |
$80.03 |
| 81002 |
|
16 |
13 |
$40.10 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
17 |
16 |
$28.50 |
| 90686 |
|
257 |
257 |
$0.00 |
| 90723 |
|
72 |
71 |
$0.00 |
| 90651 |
|
41 |
41 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90670 |
|
287 |
282 |
$0.00 |
| 90648 |
|
224 |
222 |
$0.00 |
| 90685 |
|
201 |
200 |
$0.00 |
| 90461 |
|
631 |
623 |
$0.00 |
| 90633 |
|
235 |
229 |
$0.00 |
| 90681 |
|
52 |
51 |
$0.00 |
| 90734 |
|
32 |
32 |
$0.00 |
| 90700 |
|
53 |
53 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |