| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,240 |
958 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
374 |
349 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,202 |
953 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
211 |
193 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
165 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
73 |
$12K |
| 99215 |
Prolong outpt/office vis |
65 |
50 |
$9K |
| 99490 |
Ccm add 20min |
67 |
66 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
230 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
526 |
389 |
$50.00 |
| 99058 |
|
1,275 |
908 |
$28.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
271 |
164 |
$20.70 |
| 90680 |
|
42 |
30 |
$0.00 |
| 99050 |
|
274 |
224 |
$0.00 |
| 94760 |
|
347 |
300 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
860 |
727 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
479 |
409 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
511 |
402 |
$0.00 |
| 90698 |
|
39 |
27 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
49 |
34 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
915 |
775 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
460 |
368 |
$0.00 |
| 99174 |
|
690 |
610 |
$0.00 |
| 90686 |
|
219 |
138 |
$0.00 |
| 90651 |
|
104 |
76 |
$0.00 |
| 97802 |
|
879 |
735 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
62 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
481 |
411 |
$0.00 |
| 96127 |
|
15 |
13 |
$0.00 |
| 99401 |
|
150 |
114 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
366 |
333 |
$0.00 |
| 69210 |
|
53 |
52 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
479 |
409 |
$0.00 |
| 90707 |
|
18 |
12 |
$0.00 |
| 94667 |
|
117 |
110 |
$0.00 |
| 96160 |
|
218 |
175 |
$0.00 |
| 94664 |
|
146 |
142 |
$0.00 |
| 90700 |
|
52 |
38 |
$0.00 |
| 99188 |
|
14 |
13 |
$0.00 |
| 99051 |
|
66 |
54 |
$0.00 |
| 90633 |
|
95 |
46 |
$0.00 |
| 90734 |
|
34 |
34 |
$0.00 |
| 90670 |
|
77 |
57 |
$0.00 |
| 90685 |
|
67 |
35 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
14 |
14 |
$0.00 |
| 90461 |
|
13 |
12 |
$0.00 |