| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,187 |
14,779 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,259 |
6,900 |
$768K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,033 |
9,377 |
$395K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,722 |
3,180 |
$309K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,145 |
2,966 |
$283K |
| 94762 |
|
9,710 |
7,895 |
$247K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,597 |
2,426 |
$232K |
| 99215 |
Prolong outpt/office vis |
1,516 |
1,385 |
$195K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,541 |
1,421 |
$149K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,884 |
7,171 |
$148K |
| 87428 |
|
1,209 |
1,118 |
$82K |
| 92551 |
|
5,494 |
5,146 |
$56K |
| 99174 |
|
3,632 |
3,411 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
916 |
799 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,665 |
2,471 |
$39K |
| 99173 |
|
4,703 |
4,387 |
$36K |
| 96125 |
|
525 |
505 |
$30K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,797 |
1,764 |
$20K |
| 96101 |
|
292 |
261 |
$17K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,217 |
943 |
$14K |
| 90671 |
|
929 |
853 |
$14K |
| 83655 |
|
1,044 |
1,009 |
$13K |
| D0145 |
Oral evaluation for a patient under three years of age |
366 |
356 |
$11K |
| D1206 |
Topical application of fluoride varnish |
487 |
477 |
$8K |
| 85018 |
|
2,897 |
2,730 |
$7K |
| 99460 |
|
127 |
106 |
$7K |
| 80061 |
Lipid panel |
471 |
425 |
$7K |
| 90670 |
|
1,772 |
1,730 |
$6K |
| 99381 |
|
81 |
61 |
$6K |
| 36416 |
|
2,164 |
1,983 |
$6K |
| 99000 |
|
1,726 |
1,593 |
$5K |
| 99383 |
|
47 |
41 |
$4K |
| 90651 |
|
825 |
751 |
$4K |
| 96112 |
|
35 |
33 |
$3K |
| 83718 |
|
325 |
320 |
$3K |
| 94761 |
|
677 |
482 |
$3K |
| 90686 |
|
2,660 |
2,528 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$3K |
| 90698 |
|
1,819 |
1,737 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
278 |
156 |
$2K |
| 82962 |
|
812 |
760 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
43 |
41 |
$1K |
| 90633 |
|
1,385 |
1,301 |
$1K |
| 90715 |
|
362 |
317 |
$1K |
| 90716 |
|
772 |
742 |
$1K |
| 90619 |
|
179 |
140 |
$1K |
| 90707 |
|
803 |
763 |
$1K |
| 90672 |
|
409 |
381 |
$1K |
| 96380 |
|
52 |
52 |
$1K |
| 81002 |
|
328 |
292 |
$1K |
| 90734 |
|
349 |
325 |
$890.12 |
| 96127 |
|
86 |
81 |
$807.73 |
| 94010 |
|
26 |
24 |
$765.41 |
| 90688 |
|
1,087 |
1,034 |
$712.60 |
| 90681 |
|
985 |
953 |
$614.18 |
| 82465 |
|
452 |
425 |
$546.10 |
| 90697 |
|
753 |
710 |
$487.50 |
| D0190 |
|
25 |
25 |
$426.84 |
| 90480 |
|
17 |
17 |
$338.72 |
| 94664 |
|
489 |
350 |
$329.22 |
| 90620 |
|
145 |
137 |
$308.00 |
| 92552 |
|
14 |
12 |
$208.29 |
| 90744 |
|
698 |
679 |
$92.55 |
| 90680 |
|
505 |
483 |
$64.03 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
427 |
302 |
$53.06 |
| 87803 |
|
27 |
27 |
$26.24 |
| 90656 |
|
252 |
252 |
$22.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$18.37 |
| A7015 |
Aerosol mask, used with dme nebulizer |
428 |
304 |
$10.26 |
| A4616 |
Tubing (oxygen), per foot |
430 |
305 |
$0.36 |
| 90696 |
|
95 |
88 |
$0.00 |
| 90660 |
|
35 |
35 |
$0.00 |
| 90674 |
|
32 |
32 |
$0.00 |
| 91307 |
|
16 |
13 |
$0.00 |
| 90710 |
|
63 |
59 |
$0.00 |
| 90685 |
|
295 |
278 |
$0.00 |
| 84030 |
|
15 |
12 |
$0.00 |
| 90687 |
|
18 |
18 |
$0.00 |
| 96113 |
|
17 |
16 |
$0.00 |