| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,598 |
1,470 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
650 |
633 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,130 |
1,115 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
391 |
388 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
441 |
431 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
140 |
$13K |
| 99463 |
|
133 |
131 |
$12K |
| 54150 |
|
119 |
117 |
$11K |
| 99058 |
|
494 |
489 |
$9K |
| 99460 |
|
67 |
65 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
430 |
214 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
377 |
371 |
$4K |
| 99188 |
|
324 |
322 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
53 |
52 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
30 |
$3K |
| 83655 |
|
190 |
190 |
$2K |
| 99381 |
|
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
33 |
$652.12 |
| 90651 |
|
52 |
50 |
$627.12 |
| 85018 |
|
275 |
274 |
$561.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$440.40 |
| 36416 |
|
88 |
86 |
$327.89 |
| 92587 |
|
18 |
18 |
$309.76 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
31 |
31 |
$7.49 |
| 90723 |
|
109 |
109 |
$0.00 |
| 90680 |
|
296 |
294 |
$0.00 |
| 90686 |
|
252 |
252 |
$0.00 |
| 90698 |
|
205 |
205 |
$0.00 |
| 90744 |
|
92 |
92 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90710 |
|
85 |
85 |
$0.00 |
| 90670 |
|
389 |
387 |
$0.00 |
| 90685 |
|
193 |
193 |
$0.00 |
| 90648 |
|
133 |
133 |
$0.00 |
| 90633 |
|
188 |
187 |
$0.00 |
| 90734 |
|
30 |
28 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |