| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111,854 |
90,138 |
$473K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,363 |
3,233 |
$29K |
| 99215 |
Prolong outpt/office vis |
134 |
131 |
$2K |
| 96156 |
|
61 |
58 |
$770.00 |
| G9920 |
Screening performed and negative |
97 |
91 |
$493.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$450.00 |
| 97802 |
|
79 |
72 |
$390.65 |
| 83655 |
|
149 |
148 |
$168.32 |
| 90686 |
|
13 |
13 |
$72.00 |
| 92551 |
|
17 |
17 |
$1.02 |
| 17110 |
|
279 |
193 |
$0.00 |
| 81002 |
|
1,103 |
1,062 |
$0.00 |
| 92552 |
|
143 |
142 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
52 |
$0.00 |
| 99173 |
|
522 |
520 |
$0.00 |
| 94060 |
|
282 |
246 |
$0.00 |
| 69209 |
|
97 |
94 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$0.00 |
| 99442 |
|
30 |
30 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 99072 |
|
15 |
14 |
$0.00 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
359 |
348 |
$0.00 |
| 81000 |
|
88 |
87 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
596 |
575 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
169 |
160 |
$0.00 |
| 36416 |
|
49 |
49 |
$0.00 |
| 85018 |
|
152 |
152 |
$0.00 |
| 86580 |
|
217 |
171 |
$0.00 |
| 93000 |
|
14 |
13 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |