| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
328 |
271 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
216 |
172 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
124 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$747.44 |
| 94760 |
|
306 |
221 |
$286.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
12 |
$233.70 |
| 87430 |
|
33 |
33 |
$138.88 |
| 99051 |
|
17 |
13 |
$124.40 |
| 90686 |
|
27 |
27 |
$20.03 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
20 |
12 |
$0.82 |