| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,431 |
9,592 |
$517K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,214 |
4,772 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,690 |
1,545 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,831 |
1,606 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,849 |
1,657 |
$102K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,653 |
4,746 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
984 |
839 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,035 |
2,623 |
$23K |
| 99188 |
|
982 |
827 |
$15K |
| 96111 |
|
207 |
199 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
448 |
408 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
128 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
82 |
$7K |
| 81002 |
|
2,716 |
2,379 |
$7K |
| 90651 |
|
627 |
580 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
441 |
401 |
$4K |
| 85018 |
|
2,046 |
1,827 |
$3K |
| 36416 |
|
1,993 |
1,771 |
$3K |
| 99050 |
|
190 |
155 |
$3K |
| 90670 |
|
881 |
783 |
$3K |
| 90710 |
|
454 |
384 |
$3K |
| 90619 |
|
114 |
101 |
$2K |
| 96127 |
|
527 |
472 |
$2K |
| 99051 |
|
88 |
86 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
97 |
$1K |
| 87807 |
|
146 |
139 |
$1K |
| 90734 |
|
327 |
297 |
$1K |
| 90620 |
|
394 |
348 |
$1K |
| 92552 |
|
90 |
87 |
$1K |
| 90633 |
|
462 |
398 |
$997.33 |
| 96160 |
|
459 |
416 |
$766.57 |
| 90686 |
|
2,386 |
2,040 |
$757.51 |
| 94060 |
|
14 |
13 |
$586.58 |
| 90648 |
|
1,030 |
888 |
$546.40 |
| 92567 |
|
39 |
35 |
$457.59 |
| 90700 |
|
1,082 |
943 |
$335.95 |
| 86580 |
|
73 |
68 |
$307.82 |
| 90671 |
|
123 |
90 |
$253.56 |
| 90713 |
|
754 |
656 |
$144.90 |
| 90716 |
|
62 |
60 |
$102.70 |
| 90707 |
|
72 |
70 |
$102.70 |
| 87075 |
|
17 |
15 |
$85.56 |
| 90715 |
|
134 |
118 |
$68.32 |
| 90649 |
|
57 |
48 |
$61.80 |
| 90723 |
|
42 |
42 |
$55.95 |
| 90680 |
|
199 |
173 |
$50.00 |
| 94664 |
|
31 |
29 |
$39.70 |
| 90621 |
|
22 |
14 |
$15.45 |
| 90658 |
|
37 |
34 |
$15.45 |
| 90657 |
|
25 |
23 |
$10.00 |
| 94760 |
|
120 |
111 |
$0.00 |
| 90681 |
|
20 |
14 |
$0.00 |