| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,786 |
8,715 |
$553K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,395 |
2,339 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,869 |
1,848 |
$153K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,601 |
4,401 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,591 |
1,470 |
$121K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,134 |
1,113 |
$93K |
| 90461 |
|
1,562 |
1,501 |
$91K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
468 |
42 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,518 |
1,420 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
568 |
557 |
$42K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$4K |
| 94760 |
|
2,024 |
1,706 |
$3K |
| 99173 |
|
1,199 |
1,141 |
$3K |
| 96127 |
|
490 |
490 |
$2K |
| 95117 |
|
231 |
129 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
40 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
59 |
$887.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
38 |
$557.32 |
| 90658 |
|
911 |
767 |
$505.92 |
| 90474 |
|
12 |
12 |
$255.96 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$185.35 |
| 81002 |
|
42 |
40 |
$115.95 |
| 96160 |
|
34 |
34 |
$92.07 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$18.12 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$14.40 |
| 90670 |
|
272 |
244 |
$0.00 |
| 90734 |
|
232 |
198 |
$0.00 |
| 90649 |
|
83 |
67 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90651 |
|
215 |
194 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90620 |
|
272 |
238 |
$0.00 |
| 90686 |
|
634 |
617 |
$0.00 |
| 90698 |
|
70 |
64 |
$0.00 |
| 90744 |
|
25 |
24 |
$0.00 |
| 90657 |
|
50 |
39 |
$0.00 |
| 90656 |
|
32 |
16 |
$0.00 |
| 90697 |
|
15 |
14 |
$0.00 |