| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,732 |
40,248 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,146 |
7,132 |
$165K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,067 |
7,039 |
$135K |
| 92552 |
|
10,634 |
10,612 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,253 |
3,225 |
$59K |
| 99223 |
Prolong inpt eval add15 m |
716 |
705 |
$53K |
| 99233 |
Prolong inpt eval add15 m |
1,740 |
768 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
934 |
906 |
$27K |
| 90686 |
|
7,147 |
7,130 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,468 |
13,005 |
$26K |
| 92551 |
|
6,213 |
6,197 |
$22K |
| 85018 |
|
22,055 |
21,792 |
$18K |
| 90651 |
|
2,456 |
2,454 |
$15K |
| 90734 |
|
1,892 |
1,891 |
$11K |
| 86580 |
|
3,339 |
3,329 |
$10K |
| 81000 |
|
10,115 |
10,024 |
$10K |
| 99173 |
|
10,840 |
10,818 |
$9K |
| 81003 |
|
8,135 |
7,961 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,650 |
1,573 |
$7K |
| 90620 |
|
1,495 |
1,494 |
$5K |
| 90715 |
|
839 |
834 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
466 |
328 |
$4K |
| 90670 |
|
1,045 |
1,040 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
351 |
349 |
$3K |
| 92082 |
|
4,485 |
4,474 |
$3K |
| 97803 |
|
11,454 |
11,419 |
$3K |
| 99384 |
|
63 |
63 |
$3K |
| 90716 |
|
808 |
803 |
$2K |
| 90707 |
|
724 |
721 |
$2K |
| 83655 |
|
608 |
604 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
198 |
198 |
$2K |
| 90633 |
|
627 |
626 |
$2K |
| 99401 |
|
11,681 |
11,652 |
$2K |
| 90698 |
|
291 |
288 |
$2K |
| 90700 |
|
358 |
358 |
$2K |
| 99460 |
|
28 |
27 |
$1K |
| 99383 |
|
39 |
39 |
$1K |
| 90671 |
|
109 |
109 |
$935.32 |
| 90688 |
|
294 |
293 |
$897.50 |
| 90744 |
|
184 |
182 |
$798.00 |
| 90656 |
|
257 |
257 |
$770.00 |
| 99462 |
|
29 |
28 |
$560.60 |
| 90648 |
|
117 |
117 |
$355.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
22 |
12 |
$351.86 |
| 90685 |
|
32 |
32 |
$249.16 |
| 90696 |
|
41 |
41 |
$238.00 |
| 90681 |
|
58 |
56 |
$231.00 |
| 90713 |
|
69 |
69 |
$225.00 |
| 99421 |
|
99 |
97 |
$154.00 |
| 90621 |
|
86 |
86 |
$151.50 |
| 92081 |
|
445 |
444 |
$49.42 |
| 99441 |
|
937 |
830 |
$10.00 |
| 98966 |
|
875 |
787 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 99495 |
|
40 |
35 |
$0.00 |