| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,512 |
10,242 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,613 |
2,432 |
$310K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,425 |
2,343 |
$259K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,990 |
1,918 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,705 |
1,608 |
$166K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
735 |
714 |
$87K |
| 90686 |
|
2,002 |
1,854 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,652 |
2,445 |
$33K |
| 90698 |
|
1,500 |
1,424 |
$33K |
| 92551 |
|
3,291 |
3,161 |
$31K |
| 90670 |
|
1,248 |
1,198 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,884 |
1,788 |
$25K |
| 90680 |
|
900 |
845 |
$20K |
| 90633 |
|
757 |
722 |
$17K |
| 92567 |
|
839 |
788 |
$14K |
| 90716 |
|
511 |
477 |
$11K |
| 90707 |
|
475 |
452 |
$11K |
| 90744 |
|
403 |
388 |
$9K |
| 90677 |
|
275 |
246 |
$9K |
| 99173 |
|
2,210 |
2,133 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
439 |
400 |
$5K |
| 90656 |
|
216 |
216 |
$5K |
| 90651 |
|
181 |
166 |
$4K |
| 90734 |
|
136 |
125 |
$3K |
| 90696 |
|
86 |
75 |
$2K |
| 36406 |
|
89 |
87 |
$1K |
| 90715 |
|
55 |
46 |
$1K |
| 90710 |
|
46 |
41 |
$977.76 |
| 90681 |
|
37 |
33 |
$791.52 |
| 90658 |
|
32 |
32 |
$735.12 |
| 90685 |
|
40 |
22 |
$557.26 |
| A7015 |
Aerosol mask, used with dme nebulizer |
438 |
399 |
$437.79 |
| 90688 |
|
18 |
18 |
$419.04 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
47 |
29 |
$80.35 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
359 |
324 |
$46.08 |
| 99072 |
|
98 |
94 |
$0.00 |