| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,790 |
24,224 |
$1.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,201 |
16,542 |
$813K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,944 |
13,874 |
$630K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,080 |
5,424 |
$434K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,952 |
5,148 |
$427K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,340 |
3,747 |
$276K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,442 |
3,006 |
$267K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,116 |
9,916 |
$229K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,285 |
7,702 |
$154K |
| 96160 |
|
8,877 |
7,898 |
$131K |
| 92587 |
|
5,211 |
4,283 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,447 |
3,019 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,673 |
8,143 |
$75K |
| 96127 |
|
6,947 |
5,961 |
$44K |
| 69210 |
|
1,038 |
946 |
$40K |
| 96161 |
|
2,867 |
2,448 |
$30K |
| 99173 |
|
8,153 |
7,144 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
12,425 |
10,802 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,130 |
1,102 |
$17K |
| 3008F |
|
12,316 |
10,725 |
$14K |
| 81003 |
|
9,225 |
7,983 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
857 |
704 |
$14K |
| 17110 |
|
165 |
143 |
$11K |
| 90670 |
|
3,719 |
3,216 |
$10K |
| 90651 |
|
2,178 |
1,830 |
$9K |
| 99050 |
|
570 |
547 |
$8K |
| 99215 |
Prolong outpt/office vis |
49 |
46 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
275 |
255 |
$4K |
| 90461 |
|
7,682 |
6,628 |
$3K |
| 90716 |
|
1,592 |
1,393 |
$3K |
| 81025 |
|
626 |
528 |
$3K |
| 90686 |
|
4,739 |
4,274 |
$2K |
| 90680 |
|
2,560 |
2,168 |
$2K |
| 90698 |
|
1,848 |
1,555 |
$2K |
| 99381 |
|
27 |
27 |
$2K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
423 |
376 |
$2K |
| 90734 |
|
692 |
552 |
$2K |
| 90707 |
|
1,559 |
1,364 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 90619 |
|
582 |
463 |
$791.94 |
| 94664 |
|
56 |
56 |
$705.21 |
| 90633 |
|
2,059 |
1,854 |
$702.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
39 |
$662.88 |
| 92567 |
|
51 |
44 |
$617.46 |
| 99174 |
|
63 |
57 |
$394.66 |
| 99401 |
|
22 |
12 |
$342.84 |
| 87807 |
|
29 |
29 |
$329.05 |
| 90715 |
|
452 |
378 |
$309.84 |
| 90677 |
|
392 |
351 |
$289.76 |
| 96380 |
|
18 |
17 |
$288.93 |
| 90744 |
|
1,081 |
910 |
$242.87 |
| 90700 |
|
477 |
446 |
$241.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
121 |
97 |
$207.38 |
| 90648 |
|
775 |
702 |
$98.13 |
| 90685 |
|
314 |
282 |
$24.78 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
27 |
12 |
$15.11 |
| 90656 |
|
20 |
16 |
$12.80 |
| 90697 |
|
480 |
400 |
$1.59 |
| 90658 |
|
562 |
549 |
$0.54 |
| 90381 |
|
16 |
15 |
$0.04 |
| 90688 |
|
2,831 |
2,487 |
$0.04 |
| 90696 |
|
471 |
422 |
$0.01 |
| 90621 |
|
52 |
48 |
$0.01 |
| 90710 |
|
244 |
236 |
$0.01 |
| 90661 |
|
126 |
91 |
$0.01 |
| 90674 |
|
613 |
582 |
$0.00 |
| 90723 |
|
140 |
131 |
$0.00 |
| 90687 |
|
182 |
172 |
$0.00 |