| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,558 |
1,465 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
839 |
833 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
408 |
396 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
366 |
366 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
499 |
488 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
173 |
172 |
$13K |
| 99058 |
|
554 |
551 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
764 |
750 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
596 |
296 |
$7K |
| 99188 |
|
369 |
369 |
$4K |
| 83655 |
|
221 |
221 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 92567 |
|
100 |
98 |
$972.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
26 |
$823.91 |
| 92587 |
|
57 |
57 |
$808.88 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
59 |
59 |
$716.19 |
| 85018 |
|
323 |
323 |
$692.60 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
56 |
56 |
$13.48 |
| 90670 |
|
323 |
322 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 90633 |
|
138 |
137 |
$0.00 |
| 90648 |
|
97 |
96 |
$0.00 |
| 90710 |
|
60 |
60 |
$0.00 |
| 90723 |
|
51 |
50 |
$0.00 |
| 90744 |
|
79 |
79 |
$0.00 |
| 90698 |
|
163 |
163 |
$0.00 |
| 90651 |
|
47 |
47 |
$0.00 |
| 90680 |
|
207 |
206 |
$0.00 |
| 90686 |
|
95 |
95 |
$0.00 |