| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
773 |
677 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
201 |
200 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
191 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
185 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
528 |
518 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
99 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
266 |
263 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
113 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
41 |
$2K |
| 99173 |
|
446 |
444 |
$876.04 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
27 |
$319.84 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
32 |
27 |
$141.05 |
| 85018 |
|
44 |
44 |
$103.84 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
32 |
27 |
$54.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90686 |
|
62 |
62 |
$0.00 |