| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
484 |
433 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
154 |
139 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
145 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
377 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
231 |
228 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$3K |
| 94680 |
|
44 |
43 |
$2K |
| 94644 |
|
44 |
43 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 94667 |
|
43 |
43 |
$920.70 |
| 99070 |
|
43 |
43 |
$376.65 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
44 |
43 |
$79.72 |
| 94760 |
|
43 |
43 |
$70.47 |
| A7015 |
Aerosol mask, used with dme nebulizer |
43 |
43 |
$45.17 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
44 |
43 |
$12.54 |
| 90670 |
|
56 |
55 |
$0.00 |
| 90685 |
|
22 |
22 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
43 |
$0.00 |
| 90686 |
|
45 |
45 |
$0.00 |