| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,405 |
2,171 |
$116K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,066 |
1,052 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
504 |
485 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
414 |
409 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
210 |
208 |
$15K |
| 99058 |
|
457 |
456 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
564 |
558 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
558 |
278 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
29 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
78 |
$2K |
| 99188 |
|
196 |
191 |
$2K |
| 83655 |
|
210 |
207 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
125 |
125 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
40 |
$1K |
| 85018 |
|
276 |
274 |
$562.68 |
| 92587 |
|
13 |
13 |
$195.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$147.96 |
| 36416 |
|
51 |
48 |
$124.78 |
| 81003 |
|
12 |
12 |
$18.99 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
112 |
112 |
$18.47 |
| 90648 |
|
229 |
228 |
$0.00 |
| 90670 |
|
419 |
419 |
$0.00 |
| 90685 |
|
138 |
137 |
$0.00 |
| 90710 |
|
114 |
114 |
$0.00 |
| 90633 |
|
161 |
161 |
$0.00 |
| 90700 |
|
31 |
31 |
$0.00 |
| 90698 |
|
139 |
139 |
$0.00 |
| 90744 |
|
72 |
72 |
$0.00 |
| 90680 |
|
227 |
227 |
$0.00 |
| 90686 |
|
174 |
174 |
$0.00 |
| 90723 |
|
130 |
130 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |