| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,095 |
2,697 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
641 |
599 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
344 |
327 |
$21K |
| G9920 |
Screening performed and negative |
338 |
337 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
482 |
445 |
$7K |
| 92551 |
|
1,154 |
1,152 |
$6K |
| 99381 |
|
53 |
53 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
373 |
368 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
268 |
248 |
$3K |
| 90670 |
|
429 |
429 |
$3K |
| 90698 |
|
293 |
293 |
$3K |
| 90680 |
|
239 |
239 |
$2K |
| 90686 |
|
273 |
273 |
$1K |
| 90651 |
|
57 |
56 |
$1K |
| 99173 |
|
898 |
897 |
$1K |
| 90744 |
|
145 |
145 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
181 |
172 |
$568.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
64 |
$557.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
221 |
208 |
$543.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$483.40 |
| 90707 |
|
66 |
66 |
$477.00 |
| 90716 |
|
63 |
63 |
$387.00 |
| 85018 |
|
552 |
548 |
$314.95 |
| 90734 |
|
56 |
56 |
$162.00 |
| 90633 |
|
31 |
31 |
$126.00 |
| 90715 |
|
14 |
14 |
$99.00 |
| 81002 |
|
116 |
114 |
$31.52 |
| 36416 |
|
389 |
388 |
$27.00 |
| 99000 |
|
14 |
14 |
$16.30 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
204 |
189 |
$3.51 |