| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,683 |
1,946 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,009 |
735 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,222 |
848 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
288 |
253 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
227 |
202 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
235 |
193 |
$9K |
| 99384 |
|
116 |
84 |
$8K |
| 99383 |
|
105 |
85 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
86 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
41 |
$4K |
| 92551 |
|
345 |
321 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
364 |
297 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
29 |
$2K |
| 99382 |
|
36 |
27 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
94 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
36 |
$2K |
| 99381 |
|
19 |
14 |
$726.75 |
| 90461 |
|
263 |
162 |
$154.68 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
60 |
52 |
$5.88 |
| 90677 |
|
113 |
109 |
$0.09 |
| 3078F |
|
71 |
57 |
$0.00 |
| 99173 |
|
129 |
115 |
$0.00 |
| 90734 |
|
41 |
39 |
$0.00 |
| 90670 |
|
69 |
60 |
$0.00 |
| 90687 |
|
14 |
14 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 3008F |
|
120 |
101 |
$0.00 |
| 90723 |
|
22 |
14 |
$0.00 |
| 3074F |
|
90 |
73 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |