| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,664 |
3,996 |
$288K |
| 99215 |
Prolong outpt/office vis |
2,145 |
1,948 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,564 |
1,398 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
833 |
726 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
406 |
398 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
202 |
198 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
431 |
421 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,363 |
2,261 |
$6K |
| 85018 |
|
978 |
948 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,625 |
1,528 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
43 |
$2K |
| 90698 |
|
307 |
294 |
$2K |
| 90670 |
|
547 |
511 |
$1K |
| 90680 |
|
206 |
195 |
$885.54 |
| 90688 |
|
446 |
438 |
$831.62 |
| 90686 |
|
233 |
228 |
$561.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
68 |
$428.93 |
| 90633 |
|
85 |
46 |
$292.73 |
| 90744 |
|
24 |
24 |
$161.86 |
| 81002 |
|
65 |
63 |
$134.66 |
| 90687 |
|
26 |
26 |
$108.56 |
| 90473 |
|
187 |
176 |
$55.25 |
| 90656 |
|
75 |
74 |
$0.16 |
| 90697 |
|
25 |
24 |
$0.01 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
27 |
27 |
$0.00 |
| 99173 |
|
47 |
47 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| 90671 |
|
14 |
13 |
$0.00 |
| 90685 |
|
48 |
46 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
24 |
24 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$0.00 |
| 90677 |
|
26 |
26 |
$0.00 |