| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,889 |
1,707 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,069 |
1,900 |
$105K |
| 99215 |
Prolong outpt/office vis |
278 |
254 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,026 |
964 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
253 |
240 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
253 |
242 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
199 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
398 |
386 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,113 |
1,079 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
452 |
438 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
174 |
174 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
56 |
$4K |
| 99354 |
|
32 |
31 |
$3K |
| D1206 |
Topical application of fluoride varnish |
172 |
172 |
$3K |
| 90473 |
|
83 |
80 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$947.65 |
| 99462 |
|
39 |
16 |
$940.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$482.50 |
| 96161 |
|
101 |
97 |
$359.04 |
| 90474 |
|
13 |
13 |
$265.85 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
24 |
$254.50 |
| 90686 |
|
249 |
221 |
$248.36 |
| 85018 |
|
552 |
539 |
$154.76 |
| 99070 |
|
13 |
12 |
$122.46 |
| 92551 |
|
825 |
807 |
$107.10 |
| 90672 |
|
93 |
89 |
$70.92 |
| 99173 |
|
836 |
818 |
$43.00 |
| 90688 |
|
18 |
17 |
$32.70 |
| 90647 |
|
15 |
15 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90685 |
|
19 |
19 |
$0.00 |
| 90670 |
|
62 |
61 |
$0.00 |