| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,116 |
2,780 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,283 |
3,876 |
$147K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
802 |
757 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
718 |
691 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
598 |
591 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,164 |
2,048 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
245 |
240 |
$19K |
| 87428 |
|
591 |
540 |
$13K |
| 99188 |
|
771 |
732 |
$7K |
| 90461 |
|
1,470 |
1,293 |
$5K |
| 90671 |
|
229 |
206 |
$5K |
| 90670 |
|
391 |
381 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
258 |
256 |
$2K |
| 90686 |
|
521 |
512 |
$2K |
| 85018 |
|
648 |
606 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
196 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
126 |
111 |
$1K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
61 |
55 |
$829.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
24 |
$333.60 |
| 90680 |
|
195 |
191 |
$212.54 |
| 90620 |
|
14 |
13 |
$174.42 |
| 92567 |
|
15 |
12 |
$121.10 |
| 99173 |
|
226 |
219 |
$82.70 |
| 87807 |
|
14 |
13 |
$60.06 |
| 90698 |
|
146 |
141 |
$52.50 |
| 90651 |
|
75 |
72 |
$0.00 |
| 36416 |
|
91 |
86 |
$0.00 |
| 90697 |
|
140 |
121 |
$0.00 |
| 90619 |
|
14 |
13 |
$0.00 |
| 92551 |
|
248 |
240 |
$0.00 |
| 3074F |
|
148 |
138 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
191 |
159 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
497 |
442 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
599 |
541 |
$0.00 |
| 90633 |
|
174 |
161 |
$0.00 |
| 3078F |
|
154 |
135 |
$0.00 |