| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,730 |
4,310 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,912 |
3,524 |
$226K |
| 99215 |
Prolong outpt/office vis |
622 |
522 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
516 |
515 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
362 |
362 |
$29K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,912 |
1,512 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
255 |
245 |
$19K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
622 |
511 |
$17K |
| 90686 |
|
1,061 |
1,055 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
715 |
666 |
$10K |
| 92551 |
|
1,004 |
1,000 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
103 |
$9K |
| 90670 |
|
262 |
261 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
163 |
$5K |
| 99000 |
|
2,166 |
2,079 |
$4K |
| 90698 |
|
239 |
238 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,074 |
1,052 |
$3K |
| 99173 |
|
987 |
984 |
$2K |
| 85018 |
|
547 |
542 |
$1K |
| 90651 |
|
26 |
26 |
$1K |
| 90680 |
|
40 |
40 |
$663.95 |
| 90734 |
|
27 |
27 |
$637.00 |
| 90633 |
|
52 |
52 |
$603.45 |
| 36416 |
|
1,024 |
988 |
$559.71 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
623 |
511 |
$529.65 |
| 90715 |
|
16 |
16 |
$268.63 |
| 90710 |
|
24 |
24 |
$264.00 |
| 90685 |
|
15 |
15 |
$173.23 |
| 90744 |
|
12 |
12 |
$132.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$122.60 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
514 |
414 |
$100.23 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
621 |
511 |
$23.27 |