| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,159 |
1,848 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,149 |
960 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
637 |
511 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
160 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
299 |
$9K |
| 96127 |
|
323 |
204 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
285 |
123 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
24 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
270 |
234 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
43 |
40 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
14 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
31 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$1K |
| 99177 |
|
104 |
82 |
$906.27 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
55 |
$720.08 |
| 92551 |
|
57 |
40 |
$596.20 |
| 90686 |
|
232 |
181 |
$291.51 |
| 81003 |
|
84 |
74 |
$156.08 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
26 |
$2.12 |
| 90670 |
|
13 |
12 |
$0.00 |
| 3008F |
|
126 |
101 |
$0.00 |