| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,488 |
16,055 |
$1.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,136 |
9,786 |
$1.01M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,455 |
2,445 |
$166K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,315 |
2,308 |
$160K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,873 |
4,830 |
$109K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,357 |
1,352 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,522 |
1,490 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,530 |
1,528 |
$58K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
326 |
324 |
$17K |
| 90671 |
|
440 |
440 |
$3K |
| 99381 |
|
37 |
37 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$3K |
| 99383 |
|
26 |
26 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
172 |
171 |
$2K |
| 99382 |
|
13 |
13 |
$971.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
19 |
$146.49 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
16 |
16 |
$30.48 |
| 90686 |
|
369 |
369 |
$17.22 |
| A7015 |
Aerosol mask, used with dme nebulizer |
17 |
17 |
$14.25 |
| 90670 |
|
1,141 |
1,139 |
$0.00 |
| 90707 |
|
637 |
637 |
$0.00 |
| 90633 |
|
687 |
687 |
$0.00 |
| 90734 |
|
459 |
459 |
$0.00 |
| 90715 |
|
191 |
191 |
$0.00 |
| 90649 |
|
105 |
105 |
$0.00 |
| 90621 |
|
188 |
188 |
$0.00 |
| 90700 |
|
39 |
39 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90716 |
|
633 |
633 |
$0.00 |
| 90698 |
|
517 |
516 |
$0.00 |
| 90651 |
|
362 |
362 |
$0.00 |
| 90680 |
|
781 |
780 |
$0.00 |
| 90744 |
|
225 |
225 |
$0.00 |
| 90696 |
|
169 |
169 |
$0.00 |
| 90697 |
|
38 |
38 |
$0.00 |