| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,251 |
2,656 |
$259K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,000 |
3,108 |
$234K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
672 |
605 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
661 |
583 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,243 |
980 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
571 |
469 |
$45K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,488 |
1,224 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,489 |
2,061 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
259 |
193 |
$19K |
| 99381 |
|
14 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$986.48 |
| 99173 |
|
553 |
443 |
$521.07 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$494.50 |
| 99080 |
|
112 |
89 |
$326.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
34 |
$214.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$157.78 |
| 90657 |
|
18 |
18 |
$94.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$74.63 |
| 96127 |
|
37 |
32 |
$65.02 |
| 90734 |
|
98 |
93 |
$0.00 |
| 90633 |
|
132 |
107 |
$0.00 |
| 90670 |
|
147 |
96 |
$0.00 |
| 90715 |
|
30 |
26 |
$0.00 |
| 90648 |
|
34 |
21 |
$0.00 |
| 90620 |
|
86 |
75 |
$0.00 |
| 90697 |
|
18 |
17 |
$0.00 |
| 90723 |
|
63 |
36 |
$0.00 |
| 90651 |
|
50 |
46 |
$0.00 |
| 90647 |
|
19 |
12 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
13 |
12 |
$0.00 |