| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,565 |
7,134 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,712 |
4,425 |
$237K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,506 |
2,451 |
$233K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,088 |
2,044 |
$178K |
| 96112 |
|
978 |
976 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,094 |
1,073 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,959 |
2,742 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
586 |
573 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
551 |
531 |
$43K |
| 92552 |
|
582 |
579 |
$15K |
| 90461 |
|
1,998 |
1,633 |
$9K |
| 86780 |
|
735 |
724 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
726 |
715 |
$5K |
| 81002 |
|
773 |
741 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
111 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
56 |
$1K |
| 90686 |
|
590 |
584 |
$688.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$561.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
36 |
$530.55 |
| 82947 |
|
125 |
113 |
$329.20 |
| 92551 |
|
2,518 |
2,431 |
$300.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$176.76 |
| 90715 |
|
228 |
218 |
$30.48 |
| 86592 |
|
12 |
12 |
$26.58 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$1.51 |
| 90670 |
|
630 |
620 |
$0.00 |
| 90734 |
|
543 |
530 |
$0.00 |
| 1160F |
|
93 |
93 |
$0.00 |
| 90707 |
|
304 |
291 |
$0.00 |
| 90633 |
|
292 |
283 |
$0.00 |
| 99173 |
|
3,602 |
3,512 |
$0.00 |
| 90648 |
|
178 |
175 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 1159F |
|
91 |
91 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
495 |
471 |
$0.00 |
| 3074F |
|
25 |
25 |
$0.00 |
| 90716 |
|
315 |
302 |
$0.00 |
| 90680 |
|
246 |
244 |
$0.00 |
| 90651 |
|
160 |
155 |
$0.00 |
| 1170F |
|
99 |
97 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90696 |
|
45 |
39 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |