| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,026 |
10,717 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,973 |
3,517 |
$499K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
551 |
525 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
483 |
464 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,468 |
2,099 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
131 |
$30K |
| 90461 |
|
569 |
549 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
676 |
634 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
175 |
169 |
$748.82 |
| 97802 |
|
1,949 |
1,857 |
$690.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
466 |
217 |
$524.82 |
| 99050 |
|
93 |
93 |
$217.27 |
| A7015 |
Aerosol mask, used with dme nebulizer |
453 |
402 |
$52.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
908 |
807 |
$47.05 |
| 90686 |
|
217 |
210 |
$41.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
329 |
300 |
$39.68 |
| 94667 |
|
452 |
402 |
$14.83 |
| 90707 |
|
70 |
70 |
$0.00 |
| 90633 |
|
172 |
169 |
$0.00 |
| 90734 |
|
71 |
67 |
$0.00 |
| 90713 |
|
162 |
160 |
$0.00 |
| 90715 |
|
56 |
56 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,006 |
1,888 |
$0.00 |
| 90744 |
|
84 |
84 |
$0.00 |
| 90651 |
|
105 |
101 |
$0.00 |
| 90619 |
|
30 |
30 |
$0.00 |
| 90620 |
|
52 |
52 |
$0.00 |
| 86580 |
|
12 |
12 |
$0.00 |
| 90716 |
|
162 |
159 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
13 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |