| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,311 |
15,076 |
$1.36M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,579 |
2,231 |
$457K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,548 |
3,240 |
$342K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,507 |
2,353 |
$251K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,714 |
5,677 |
$209K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,583 |
1,582 |
$146K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,664 |
1,653 |
$144K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
844 |
841 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
826 |
824 |
$77K |
| 94010 |
|
1,992 |
1,839 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,293 |
6,410 |
$46K |
| 92552 |
|
1,561 |
1,561 |
$46K |
| 69210 |
|
825 |
741 |
$37K |
| 95117 |
|
4,144 |
2,208 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
321 |
321 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,239 |
3,234 |
$31K |
| 87070 |
|
7,320 |
6,458 |
$28K |
| 92567 |
|
1,518 |
1,499 |
$19K |
| 90677 |
|
79 |
79 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,977 |
980 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
297 |
290 |
$11K |
| 99441 |
|
235 |
228 |
$10K |
| 99442 |
|
161 |
157 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
64 |
$6K |
| 86580 |
|
883 |
883 |
$4K |
| 81002 |
|
2,445 |
2,336 |
$4K |
| 95024 |
|
55 |
55 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,249 |
2,225 |
$2K |
| 94060 |
|
12 |
12 |
$479.19 |
| 90686 |
|
12 |
12 |
$173.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$172.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
14 |
$21.95 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$1.45 |
| 90688 |
|
36 |
36 |
$0.34 |
| 99000 |
|
2,298 |
2,243 |
$0.00 |