| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,274 |
4,810 |
$515K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,515 |
6,729 |
$499K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,604 |
1,556 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,013 |
972 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,896 |
1,790 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
507 |
494 |
$27K |
| 99173 |
|
3,932 |
3,749 |
$15K |
| 83655 |
|
962 |
919 |
$14K |
| 90658 |
|
694 |
674 |
$13K |
| 87430 |
|
959 |
919 |
$13K |
| 92551 |
|
3,487 |
3,324 |
$13K |
| 90700 |
|
605 |
581 |
$11K |
| 81002 |
|
3,350 |
3,140 |
$10K |
| 96127 |
|
2,756 |
2,638 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
934 |
902 |
$6K |
| 90733 |
|
329 |
310 |
$6K |
| 90713 |
|
298 |
289 |
$6K |
| 90648 |
|
291 |
272 |
$5K |
| 90670 |
|
260 |
244 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
41 |
$4K |
| 90651 |
|
154 |
151 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
74 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
256 |
235 |
$3K |
| 0001A |
|
75 |
70 |
$2K |
| 0002A |
|
63 |
61 |
$2K |
| 0072A |
|
44 |
41 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$1K |
| 90716 |
|
53 |
49 |
$989.50 |
| 90649 |
|
42 |
42 |
$831.18 |
| 90707 |
|
39 |
37 |
$752.02 |
| 81025 |
|
258 |
241 |
$738.00 |
| 0071A |
|
21 |
21 |
$672.00 |
| 90633 |
|
27 |
26 |
$514.54 |
| 90715 |
|
25 |
25 |
$494.75 |
| 90680 |
|
13 |
13 |
$257.27 |
| 90677 |
|
14 |
14 |
$257.27 |
| 85018 |
|
605 |
581 |
$249.00 |
| 90744 |
|
12 |
12 |
$217.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$192.00 |