| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,082 |
954 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
224 |
222 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
256 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
173 |
169 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
421 |
397 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
227 |
213 |
$3K |
| 92551 |
|
425 |
413 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 85018 |
|
542 |
506 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
110 |
$1K |
| 81002 |
|
433 |
401 |
$978.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
61 |
$656.50 |
| 99173 |
|
451 |
437 |
$624.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$469.45 |
| 90647 |
|
14 |
14 |
$78.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
49 |
44 |
$68.41 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
62 |
60 |
$58.80 |
| 94760 |
|
220 |
199 |
$21.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
66 |
63 |
$17.74 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
67 |
62 |
$2.50 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
63 |
60 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
16 |
12 |
$0.00 |
| 90686 |
|
65 |
62 |
$0.00 |
| 90716 |
|
17 |
17 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90670 |
|
29 |
25 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |