| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,700 |
17,934 |
$859K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,576 |
10,675 |
$363K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,247 |
4,184 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,537 |
3,377 |
$229K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,249 |
4,108 |
$224K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,798 |
2,761 |
$156K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,672 |
1,638 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,159 |
2,081 |
$53K |
| 99050 |
|
2,287 |
2,140 |
$38K |
| 99215 |
Prolong outpt/office vis |
496 |
433 |
$36K |
| 99381 |
|
274 |
259 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,302 |
1,260 |
$16K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,025 |
1,009 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
674 |
584 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
922 |
911 |
$7K |
| 96127 |
|
972 |
913 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
287 |
286 |
$4K |
| 85018 |
|
1,208 |
1,188 |
$3K |
| 94375 |
|
88 |
87 |
$2K |
| 36416 |
|
642 |
634 |
$2K |
| 81025 |
|
247 |
241 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
644 |
589 |
$1K |
| 81002 |
|
459 |
427 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
429 |
416 |
$944.38 |
| 99382 |
|
15 |
13 |
$864.04 |
| 17110 |
|
12 |
12 |
$797.76 |
| 96161 |
|
225 |
215 |
$749.17 |
| 80061 |
Lipid panel |
57 |
56 |
$710.95 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
56 |
53 |
$496.44 |
| 69209 |
|
32 |
24 |
$298.80 |
| 90670 |
|
3,273 |
3,215 |
$253.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$183.60 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
61 |
60 |
$112.98 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
433 |
402 |
$75.87 |
| 90633 |
|
1,618 |
1,593 |
$65.00 |
| 99173 |
|
26 |
26 |
$55.44 |
| 90715 |
|
284 |
280 |
$51.74 |
| 90686 |
|
2,350 |
2,316 |
$20.56 |
| 90688 |
|
171 |
170 |
$20.13 |
| 94760 |
|
762 |
692 |
$10.36 |
| 90680 |
|
1,827 |
1,786 |
$0.00 |
| 90698 |
|
2,833 |
2,780 |
$0.00 |
| 90696 |
|
419 |
413 |
$0.00 |
| 90744 |
|
1,402 |
1,366 |
$0.00 |
| 90651 |
|
1,098 |
1,081 |
$0.00 |
| 90716 |
|
229 |
226 |
$0.00 |
| 99000 |
|
2,254 |
2,185 |
$0.00 |
| 90620 |
|
92 |
88 |
$0.00 |
| 90723 |
|
196 |
194 |
$0.00 |
| 90707 |
|
218 |
217 |
$0.00 |
| 90734 |
|
608 |
594 |
$0.00 |
| 90710 |
|
634 |
624 |
$0.00 |
| 90672 |
|
71 |
70 |
$0.00 |
| 90685 |
|
371 |
354 |
$0.00 |
| 90648 |
|
300 |
298 |
$0.00 |
| 90700 |
|
100 |
98 |
$0.00 |
| 90681 |
|
98 |
98 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |