| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,611 |
2,134 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,080 |
942 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
446 |
396 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
747 |
662 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
680 |
591 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
443 |
393 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
197 |
178 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
917 |
731 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
364 |
275 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
588 |
266 |
$8K |
| 87631 |
|
35 |
25 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
38 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
42 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
44 |
$880.73 |
| 90461 |
|
709 |
607 |
$569.24 |
| 87807 |
|
44 |
36 |
$469.66 |
| 90670 |
|
364 |
315 |
$461.00 |
| 83655 |
|
14 |
14 |
$218.62 |
| 36416 |
|
52 |
51 |
$117.25 |
| 99173 |
|
20 |
15 |
$86.12 |
| 90686 |
|
124 |
107 |
$66.77 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
16 |
$47.40 |
| 86756 |
|
62 |
38 |
$11.60 |
| 90685 |
|
44 |
38 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90680 |
|
110 |
101 |
$0.00 |
| 90698 |
|
203 |
172 |
$0.00 |
| 3008F |
|
88 |
69 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
49 |
30 |
$0.00 |
| 90744 |
|
33 |
28 |
$0.00 |