| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,597 |
3,184 |
$240K |
| 96112 |
|
1,426 |
1,423 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
614 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
478 |
478 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
214 |
214 |
$21K |
| 96111 |
|
179 |
179 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,490 |
1,097 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
149 |
149 |
$13K |
| G0008 |
Administration of influenza virus vaccine |
697 |
697 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
270 |
262 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
691 |
687 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
792 |
774 |
$6K |
| 4124F |
|
201 |
196 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
599 |
588 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
156 |
156 |
$2K |
| 99051 |
|
13 |
13 |
$825.00 |
| 92551 |
|
444 |
444 |
$296.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$244.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$228.12 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$187.20 |
| 96160 |
|
18 |
18 |
$33.40 |
| 99401 |
|
33 |
33 |
$31.14 |
| 99173 |
|
394 |
394 |
$23.28 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
12 |
$6.34 |
| 94760 |
|
1,895 |
1,819 |
$2.37 |
| 99072 |
|
94 |
91 |
$0.00 |
| 99000 |
|
143 |
137 |
$0.00 |