| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,727 |
7,681 |
$646K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,182 |
3,578 |
$243K |
| 99215 |
Prolong outpt/office vis |
2,378 |
1,604 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
635 |
613 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
669 |
584 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,124 |
2,000 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
817 |
642 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,033 |
977 |
$15K |
| 99205 |
Prolong outpt/office vis |
82 |
76 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
127 |
$10K |
| 94680 |
|
234 |
215 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
105 |
$10K |
| 94644 |
|
233 |
214 |
$9K |
| 94667 |
|
234 |
215 |
$5K |
| 92561 |
|
155 |
153 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
52 |
$1K |
| 90662 |
|
33 |
32 |
$973.55 |
| 99070 |
|
158 |
153 |
$920.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
30 |
$419.11 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
193 |
182 |
$401.89 |
| 92650 |
|
28 |
27 |
$364.95 |
| 90698 |
|
68 |
67 |
$282.20 |
| 90756 |
|
12 |
12 |
$243.81 |
| 90686 |
|
726 |
649 |
$242.99 |
| 94760 |
|
216 |
201 |
$221.85 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
248 |
226 |
$166.78 |
| 99442 |
|
14 |
13 |
$160.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
158 |
153 |
$117.42 |
| 99173 |
|
349 |
341 |
$83.50 |
| 90670 |
|
255 |
250 |
$70.55 |
| 94664 |
|
15 |
12 |
$52.97 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
249 |
227 |
$23.66 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 99000 |
|
28 |
25 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90651 |
|
15 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |