| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,454 |
12,837 |
$834K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,328 |
8,014 |
$318K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,488 |
2,450 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,561 |
2,509 |
$223K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,129 |
2,095 |
$174K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,891 |
4,900 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,014 |
993 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,861 |
3,705 |
$54K |
| 99429 |
|
935 |
919 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,098 |
1,522 |
$17K |
| 90461 |
|
3,112 |
2,574 |
$16K |
| 99000 |
|
1,566 |
1,379 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
743 |
461 |
$10K |
| 99358 |
Prolong nursin fac eval 15m |
66 |
63 |
$6K |
| 99215 |
Prolong outpt/office vis |
65 |
51 |
$5K |
| 96160 |
|
2,064 |
2,018 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 99359 |
Prolong nursin fac eval 15m |
66 |
63 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
100 |
97 |
$1K |
| 87807 |
|
110 |
110 |
$1K |
| 97802 |
|
402 |
401 |
$598.69 |
| 83655 |
|
49 |
49 |
$570.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$215.46 |
| 80061 |
Lipid panel |
12 |
12 |
$135.00 |
| 98960 |
|
221 |
134 |
$44.34 |
| 81002 |
|
13 |
13 |
$39.91 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$0.65 |
| 90619 |
|
65 |
65 |
$0.14 |
| 90686 |
|
226 |
226 |
$0.09 |
| 90651 |
|
325 |
324 |
$0.03 |
| 90670 |
|
1,015 |
990 |
$0.02 |
| 90658 |
|
206 |
206 |
$0.02 |
| 90734 |
|
270 |
269 |
$0.01 |
| 90680 |
|
317 |
317 |
$0.00 |
| 90723 |
|
115 |
115 |
$0.00 |
| 90697 |
|
108 |
104 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
17 |
17 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
40 |
$0.00 |
| 90696 |
|
48 |
48 |
$0.00 |
| 94760 |
|
22 |
18 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90633 |
|
252 |
251 |
$0.00 |
| 90648 |
|
301 |
296 |
$0.00 |
| 90671 |
|
98 |
97 |
$0.00 |
| 90715 |
|
133 |
133 |
$0.00 |
| 90710 |
|
64 |
64 |
$0.00 |
| 90700 |
|
30 |
30 |
$0.00 |
| 99078 |
|
33 |
27 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |