| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,857 |
6,802 |
$685K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,474 |
1,338 |
$160K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,554 |
1,422 |
$155K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,088 |
1,006 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
693 |
638 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
312 |
292 |
$34K |
| 90662 |
|
534 |
527 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
859 |
830 |
$18K |
| 90670 |
|
749 |
683 |
$15K |
| 90651 |
|
708 |
646 |
$15K |
| 90698 |
|
678 |
623 |
$13K |
| 90621 |
|
314 |
290 |
$11K |
| 99051 |
|
998 |
942 |
$9K |
| 90734 |
|
428 |
379 |
$9K |
| 90633 |
|
462 |
421 |
$9K |
| 90619 |
|
199 |
189 |
$9K |
| 90715 |
|
396 |
354 |
$8K |
| 90744 |
|
353 |
322 |
$7K |
| 90680 |
|
226 |
202 |
$4K |
| 90710 |
|
194 |
169 |
$4K |
| 90696 |
|
195 |
171 |
$4K |
| 99215 |
Prolong outpt/office vis |
226 |
76 |
$4K |
| 90716 |
|
159 |
136 |
$3K |
| 90707 |
|
151 |
128 |
$3K |
| 90681 |
|
87 |
80 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
32 |
$1K |
| 99381 |
|
13 |
12 |
$714.30 |
| 90671 |
|
21 |
21 |
$569.04 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
27 |
$225.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$69.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$23.28 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
30 |
30 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
15 |
15 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
25 |
$0.00 |