| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,178 |
3,529 |
$167K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
680 |
656 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
599 |
558 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
569 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,338 |
1,264 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
454 |
435 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
365 |
354 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
613 |
574 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
910 |
677 |
$8K |
| 92551 |
|
1,577 |
1,450 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
56 |
$1K |
| 90461 |
|
125 |
117 |
$576.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
27 |
$310.44 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
22 |
17 |
$241.12 |
| 96160 |
|
135 |
119 |
$234.86 |
| 99173 |
|
1,175 |
1,047 |
$190.18 |
| 99000 |
|
244 |
163 |
$101.53 |
| A7015 |
Aerosol mask, used with dme nebulizer |
53 |
44 |
$24.81 |
| 99051 |
|
37 |
31 |
$16.92 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
22 |
16 |
$0.73 |
| 90686 |
|
231 |
184 |
$0.00 |
| 90680 |
|
44 |
39 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90698 |
|
78 |
70 |
$0.00 |
| 90651 |
|
53 |
51 |
$0.00 |
| 90734 |
|
83 |
72 |
$0.00 |
| 90670 |
|
229 |
205 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |