| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,127 |
6,432 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,200 |
2,955 |
$238K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,374 |
2,256 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
806 |
786 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
811 |
765 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
445 |
438 |
$35K |
| 92552 |
|
837 |
773 |
$13K |
| 96160 |
|
1,690 |
1,623 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
166 |
163 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
56 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
231 |
223 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 96127 |
|
518 |
454 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
80 |
$1K |
| 99173 |
|
704 |
637 |
$900.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$336.16 |
| 90461 |
|
13 |
13 |
$259.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$128.23 |
| 90686 |
|
84 |
75 |
$15.62 |
| 99000 |
|
12 |
12 |
$11.30 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.53 |
| 90670 |
|
58 |
52 |
$0.01 |
| 90648 |
|
14 |
12 |
$0.00 |