| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,828 |
4,239 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,620 |
1,487 |
$118K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,944 |
2,736 |
$113K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,247 |
1,211 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,114 |
1,090 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
642 |
630 |
$48K |
| 90461 |
|
1,658 |
1,528 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
481 |
447 |
$6K |
| 99383 |
|
58 |
57 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$5K |
| 81002 |
|
1,562 |
1,512 |
$4K |
| 92551 |
|
993 |
900 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
177 |
163 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
99 |
$2K |
| 99173 |
|
903 |
833 |
$835.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
210 |
160 |
$599.34 |
| 90698 |
|
280 |
245 |
$89.10 |
| 94760 |
|
52 |
40 |
$6.74 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
113 |
106 |
$4.66 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90670 |
|
476 |
418 |
$0.00 |
| 90685 |
|
32 |
27 |
$0.00 |
| 90677 |
|
128 |
111 |
$0.00 |
| 90680 |
|
170 |
139 |
$0.00 |
| 90686 |
|
572 |
468 |
$0.00 |
| 90744 |
|
124 |
94 |
$0.00 |