| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,686 |
8,643 |
$373K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,591 |
1,527 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,733 |
1,631 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,859 |
1,679 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
902 |
886 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
508 |
503 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$3K |
| 99381 |
|
14 |
13 |
$1K |
| 85018 |
|
2,964 |
2,880 |
$233.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,130 |
4,015 |
$116.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
808 |
782 |
$90.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
610 |
594 |
$69.68 |
| 81003 |
|
2,616 |
2,533 |
$46.89 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
366 |
330 |
$36.45 |
| 99442 |
|
13 |
13 |
$28.24 |
| 83655 |
|
34 |
19 |
$8.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
344 |
234 |
$0.00 |
| 90686 |
|
941 |
913 |
$0.00 |
| 90744 |
|
368 |
351 |
$0.00 |
| 90698 |
|
945 |
919 |
$0.00 |
| 90716 |
|
255 |
248 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
229 |
207 |
$0.00 |
| 94760 |
|
203 |
191 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 87807 |
|
39 |
39 |
$0.00 |
| 90651 |
|
106 |
106 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$0.00 |
| 90696 |
|
15 |
13 |
$0.00 |
| 90461 |
|
682 |
668 |
$0.00 |
| 90681 |
|
265 |
251 |
$0.00 |
| 90670 |
|
1,317 |
1,294 |
$0.00 |
| 90633 |
|
307 |
292 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90707 |
|
233 |
226 |
$0.00 |
| 90734 |
|
124 |
123 |
$0.00 |
| 90473 |
|
78 |
75 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |