| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
880 |
800 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
316 |
305 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
296 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
298 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
167 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
189 |
188 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
686 |
675 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
248 |
241 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
362 |
360 |
$6K |
| 99173 |
|
629 |
617 |
$979.07 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
41 |
$420.84 |
| 85018 |
|
91 |
90 |
$212.40 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
43 |
42 |
$68.25 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
43 |
42 |
$26.40 |
| 90620 |
|
36 |
35 |
$0.00 |
| 90686 |
|
56 |
56 |
$0.00 |
| 90670 |
|
105 |
104 |
$0.00 |
| 90648 |
|
37 |
36 |
$0.00 |
| 90633 |
|
28 |
27 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$0.00 |
| 90734 |
|
15 |
14 |
$0.00 |