| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,905 |
2,770 |
$203K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,293 |
1,151 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
389 |
385 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
245 |
242 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
237 |
236 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
214 |
214 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
531 |
521 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
882 |
878 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
39 |
$3K |
| 90474 |
|
145 |
145 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$645.48 |
| 81002 |
|
189 |
142 |
$570.15 |
| 96160 |
|
149 |
149 |
$424.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
35 |
$335.50 |
| 94664 |
|
14 |
13 |
$159.57 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$130.65 |
| 90686 |
|
68 |
65 |
$46.38 |
| A4616 |
Tubing (oxygen), per foot |
16 |
14 |
$0.78 |
| 90670 |
|
248 |
248 |
$0.00 |
| 90633 |
|
88 |
88 |
$0.00 |
| 90734 |
|
31 |
31 |
$0.00 |
| A4617 |
Mouth piece |
15 |
13 |
$0.00 |
| 90647 |
|
144 |
144 |
$0.00 |
| 90680 |
|
130 |
130 |
$0.00 |
| 90723 |
|
74 |
74 |
$0.00 |