| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
404 |
404 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
313 |
312 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
141 |
$8K |
| 90670 |
|
232 |
230 |
$7K |
| 92551 |
|
683 |
682 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
180 |
180 |
$6K |
| 99383 |
|
65 |
65 |
$4K |
| 90651 |
|
93 |
93 |
$3K |
| 90716 |
|
145 |
145 |
$2K |
| 90633 |
|
181 |
181 |
$2K |
| 90698 |
|
125 |
124 |
$2K |
| 90700 |
|
184 |
184 |
$2K |
| 90734 |
|
71 |
71 |
$1K |
| 90707 |
|
128 |
128 |
$1K |
| 90686 |
|
125 |
124 |
$1K |
| 90744 |
|
102 |
102 |
$908.68 |
| 90648 |
|
105 |
105 |
$899.91 |
| 90713 |
|
81 |
81 |
$730.89 |
| 99382 |
|
14 |
14 |
$653.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$597.85 |
| 90681 |
|
28 |
27 |
$577.71 |
| 90715 |
|
33 |
33 |
$483.17 |
| 90685 |
|
78 |
78 |
$366.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,466 |
1,320 |
$356.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
456 |
431 |
$148.52 |
| 86580 |
|
14 |
14 |
$46.62 |
| 85018 |
|
14 |
14 |
$28.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
119 |
$17.92 |
| 99173 |
|
175 |
174 |
$13.68 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
69 |
63 |
$11.58 |
| 81000 |
|
40 |
40 |
$7.65 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
69 |
63 |
$0.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,583 |
718 |
$0.00 |
| 90461 |
|
431 |
374 |
$0.00 |