| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,790 |
13,356 |
$1.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,870 |
15,894 |
$860K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,175 |
5,016 |
$331K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,457 |
5,181 |
$309K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,127 |
3,083 |
$198K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,252 |
2,224 |
$158K |
| 99215 |
Prolong outpt/office vis |
922 |
884 |
$97K |
| 99381 |
|
871 |
849 |
$61K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,424 |
4,395 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,156 |
2,076 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,969 |
6,904 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,021 |
953 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,124 |
1,112 |
$10K |
| 90474 |
|
1,423 |
1,415 |
$7K |
| 96127 |
|
1,528 |
1,497 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
208 |
123 |
$3K |
| D0190 |
|
222 |
220 |
$2K |
| 81002 |
|
845 |
809 |
$2K |
| 99188 |
|
336 |
333 |
$2K |
| 92551 |
|
326 |
323 |
$2K |
| 83655 |
|
164 |
164 |
$2K |
| 85018 |
|
673 |
666 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$976.08 |
| 99383 |
|
13 |
12 |
$945.62 |
| 99051 |
|
300 |
274 |
$880.26 |
| 99442 |
|
17 |
16 |
$821.32 |
| 90473 |
|
96 |
96 |
$730.21 |
| 90620 |
|
235 |
234 |
$720.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
65 |
54 |
$587.20 |
| 99000 |
|
32 |
31 |
$276.98 |
| 90686 |
|
2,008 |
2,000 |
$196.85 |
| 90672 |
|
126 |
125 |
$80.64 |
| 90715 |
|
236 |
235 |
$35.65 |
| 36416 |
|
26 |
26 |
$32.97 |
| 90674 |
|
28 |
28 |
$29.23 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
40 |
34 |
$1.20 |
| 98966 |
|
36 |
28 |
$0.07 |
| 90723 |
|
1,569 |
1,561 |
$0.00 |
| 90696 |
|
389 |
389 |
$0.00 |
| 90647 |
|
1,615 |
1,605 |
$0.00 |
| 90651 |
|
513 |
511 |
$0.00 |
| 90680 |
|
1,520 |
1,513 |
$0.00 |
| 90716 |
|
493 |
489 |
$0.00 |
| 90697 |
|
94 |
92 |
$0.00 |
| 90707 |
|
487 |
484 |
$0.00 |
| 90670 |
|
2,271 |
2,260 |
$0.00 |
| 90700 |
|
530 |
526 |
$0.00 |
| 90734 |
|
554 |
553 |
$0.00 |
| 90710 |
|
315 |
315 |
$0.00 |
| 90633 |
|
1,154 |
1,152 |
$0.00 |
| 90685 |
|
41 |
41 |
$0.00 |
| 99173 |
|
646 |
645 |
$0.00 |
| 90687 |
|
30 |
30 |
$0.00 |