| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,365 |
4,492 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
648 |
636 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
719 |
627 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
411 |
404 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
233 |
227 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
91 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,521 |
1,485 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 90686 |
|
411 |
402 |
$124.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
412 |
393 |
$50.00 |
| 90670 |
|
434 |
426 |
$40.00 |
| 90715 |
|
14 |
14 |
$27.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
617 |
577 |
$26.79 |
| 92568 |
|
1,030 |
1,009 |
$23.99 |
| 90651 |
|
65 |
64 |
$18.00 |
| 81002 |
|
1,115 |
1,081 |
$13.79 |
| 85018 |
|
967 |
952 |
$5.66 |
| 90723 |
|
264 |
259 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
171 |
163 |
$0.00 |
| 96127 |
|
268 |
258 |
$0.00 |
| 36416 |
|
992 |
975 |
$0.00 |
| 90647 |
|
300 |
294 |
$0.00 |
| 90620 |
|
27 |
26 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |
| 92587 |
|
40 |
39 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 99188 |
|
801 |
790 |
$0.00 |
| 99173 |
|
1,147 |
1,126 |
$0.00 |
| 90461 |
|
793 |
779 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
165 |
157 |
$0.00 |
| 90681 |
|
53 |
53 |
$0.00 |
| 99354 |
|
170 |
162 |
$0.00 |
| 90633 |
|
93 |
93 |
$0.00 |
| 83655 |
|
106 |
105 |
$0.00 |
| 90734 |
|
45 |
44 |
$0.00 |
| 90710 |
|
59 |
59 |
$0.00 |