| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,699 |
1,318 |
$107K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,463 |
2,380 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,979 |
1,536 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
789 |
606 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
239 |
202 |
$20K |
| 99381 |
|
154 |
104 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
100 |
87 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
175 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
42 |
$4K |
| 90670 |
|
151 |
150 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
468 |
382 |
$2K |
| 99383 |
|
21 |
16 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
306 |
273 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
12 |
$936.18 |
| 90698 |
|
474 |
388 |
$889.46 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
62 |
50 |
$748.44 |
| 90680 |
|
334 |
270 |
$694.47 |
| 90461 |
|
163 |
140 |
$588.42 |
| 90744 |
|
281 |
218 |
$539.06 |
| 90686 |
|
112 |
100 |
$312.07 |
| 90685 |
|
92 |
69 |
$168.21 |
| 90681 |
|
16 |
14 |
$110.00 |
| 90633 |
|
43 |
38 |
$87.70 |
| 96127 |
|
24 |
16 |
$66.47 |
| 85018 |
|
13 |
13 |
$36.97 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
15 |
$0.96 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
20 |
12 |
$0.00 |