| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,800 |
1,673 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,549 |
1,380 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
558 |
557 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
501 |
474 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
281 |
280 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,332 |
1,315 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
274 |
269 |
$4K |
| 81000 |
|
727 |
710 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
161 |
158 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
60 |
$1K |
| 99442 |
|
46 |
39 |
$641.35 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
38 |
37 |
$372.11 |
| 99051 |
|
35 |
34 |
$279.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
18 |
$89.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$18.90 |
| 90686 |
|
284 |
284 |
$7.00 |
| 99173 |
|
280 |
279 |
$0.00 |
| 90700 |
|
39 |
38 |
$0.00 |
| 90670 |
|
172 |
172 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90698 |
|
51 |
50 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90680 |
|
14 |
13 |
$0.00 |