| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,739 |
3,524 |
$233K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,052 |
2,930 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,312 |
2,232 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
684 |
663 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
519 |
501 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
343 |
340 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
341 |
327 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,710 |
1,638 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
134 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,131 |
1,104 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
177 |
173 |
$5K |
| 96127 |
|
1,190 |
1,147 |
$4K |
| 94760 |
|
366 |
354 |
$2K |
| 99188 |
|
129 |
128 |
$2K |
| 99173 |
|
725 |
690 |
$2K |
| 92551 |
|
693 |
657 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
85 |
81 |
$1K |
| 96161 |
|
173 |
158 |
$575.59 |
| 99401 |
|
87 |
85 |
$70.14 |
| 85018 |
|
13 |
13 |
$34.84 |
| 90670 |
|
79 |
77 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
84 |
82 |
$0.00 |
| 97802 |
|
3,494 |
3,359 |
$0.00 |
| 90680 |
|
14 |
13 |
$0.00 |
| 90686 |
|
237 |
233 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
81 |
78 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |