| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,469 |
2,860 |
$304K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,215 |
3,415 |
$244K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,081 |
959 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
437 |
425 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
309 |
292 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,576 |
1,513 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
529 |
466 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
129 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
79 |
$11K |
| 87428 |
|
130 |
116 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
391 |
359 |
$5K |
| 99381 |
|
32 |
26 |
$2K |
| 87807 |
|
111 |
102 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
469 |
424 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$935.04 |
| 99383 |
|
13 |
12 |
$935.04 |
| 83655 |
|
52 |
51 |
$764.71 |
| 92551 |
|
967 |
865 |
$362.38 |
| 81001 |
|
94 |
85 |
$332.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$193.42 |
| 96161 |
|
64 |
45 |
$190.74 |
| 99173 |
|
930 |
830 |
$80.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
14 |
$36.40 |
| 85018 |
|
38 |
38 |
$2.92 |
| 99174 |
|
140 |
134 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
15 |
14 |
$0.00 |
| 36416 |
|
29 |
28 |
$0.00 |