| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,751 |
9,979 |
$854K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,624 |
12,460 |
$751K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,114 |
5,978 |
$473K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,576 |
9,504 |
$393K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,353 |
4,336 |
$358K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,492 |
3,487 |
$288K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,678 |
1,676 |
$153K |
| 99460 |
|
481 |
480 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
445 |
444 |
$27K |
| 92551 |
|
1,975 |
1,933 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
862 |
844 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
214 |
$7K |
| 99173 |
|
1,879 |
1,835 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
26 |
$395.92 |
| 81002 |
|
42 |
39 |
$123.48 |
| A7015 |
Aerosol mask, used with dme nebulizer |
26 |
26 |
$30.66 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
26 |
26 |
$1.16 |
| 90670 |
|
3,560 |
3,421 |
$0.00 |
| 90633 |
|
1,455 |
1,369 |
$0.00 |
| 90710 |
|
1,370 |
1,297 |
$0.00 |
| 90671 |
|
727 |
714 |
$0.00 |
| 90734 |
|
258 |
228 |
$0.00 |
| 90715 |
|
60 |
51 |
$0.00 |
| 90680 |
|
2,811 |
2,673 |
$0.00 |
| 90697 |
|
972 |
914 |
$0.00 |
| 90698 |
|
2,958 |
2,836 |
$0.00 |
| 90686 |
|
1,261 |
1,182 |
$0.00 |
| 90744 |
|
1,463 |
1,402 |
$0.00 |
| 90651 |
|
68 |
66 |
$0.00 |
| 90677 |
|
146 |
99 |
$0.00 |
| 90696 |
|
72 |
72 |
$0.00 |
| 90620 |
|
19 |
12 |
$0.00 |