| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,004 |
3,959 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,106 |
17,686 |
$123K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,107 |
13,966 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,768 |
2,750 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,288 |
1,237 |
$76K |
| G9920 |
Screening performed and negative |
2,554 |
2,543 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
866 |
857 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
274 |
263 |
$31K |
| 90461 |
|
4,439 |
3,954 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,923 |
1,825 |
$21K |
| 90480 |
|
229 |
227 |
$13K |
| 92551 |
|
6,279 |
6,261 |
$5K |
| 90686 |
|
458 |
454 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
713 |
679 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
355 |
336 |
$625.44 |
| 90473 |
|
29 |
29 |
$351.00 |
| 99188 |
|
13 |
13 |
$351.00 |
| 0072A |
|
163 |
163 |
$280.00 |
| 0071A |
|
141 |
140 |
$280.00 |
| 91321 |
|
13 |
12 |
$220.00 |
| 90671 |
|
24 |
24 |
$206.25 |
| 85014 |
|
2,363 |
2,355 |
$193.84 |
| 96127 |
|
407 |
407 |
$98.78 |
| 90698 |
|
12 |
12 |
$82.00 |
| 90670 |
|
12 |
12 |
$72.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
142 |
140 |
$50.72 |
| 81000 |
|
1,359 |
1,338 |
$39.76 |
| 94760 |
|
16 |
16 |
$12.30 |
| 99173 |
|
4,196 |
4,178 |
$8.19 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
253 |
240 |
$7.44 |
| 99441 |
|
2,068 |
1,776 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 0073A |
|
12 |
12 |
$0.00 |
| 99442 |
|
909 |
853 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
24 |
23 |
$0.00 |