| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,776 |
8,486 |
$1.04M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,825 |
1,814 |
$254K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
850 |
841 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
619 |
578 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,616 |
3,348 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,190 |
1,901 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
441 |
441 |
$53K |
| 99188 |
|
2,008 |
1,995 |
$25K |
| 87807 |
|
446 |
424 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
696 |
688 |
$5K |
| 90686 |
|
112 |
107 |
$3K |
| 99382 |
|
12 |
12 |
$3K |
| 90723 |
|
129 |
129 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$2K |
| 90681 |
|
53 |
53 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
286 |
269 |
$2K |
| 99381 |
|
12 |
12 |
$2K |
| 90670 |
|
266 |
266 |
$1K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
190 |
176 |
$1K |
| 90685 |
|
40 |
40 |
$825.65 |
| 90633 |
|
30 |
30 |
$664.45 |
| 96127 |
|
14 |
14 |
$75.60 |
| 90647 |
|
193 |
193 |
$73.84 |
| 99173 |
|
16 |
16 |
$0.00 |
| 90461 |
|
320 |
320 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |