| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,744 |
2,281 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,113 |
1,892 |
$159K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,149 |
1,705 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,946 |
2,617 |
$136K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,158 |
1,040 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
382 |
345 |
$31K |
| 90670 |
|
1,407 |
1,133 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,601 |
1,359 |
$26K |
| 90677 |
|
298 |
263 |
$20K |
| 96127 |
|
833 |
734 |
$16K |
| 90686 |
|
1,352 |
1,199 |
$15K |
| 90647 |
|
1,055 |
803 |
$13K |
| 90723 |
|
959 |
754 |
$13K |
| 90680 |
|
781 |
615 |
$11K |
| 90633 |
|
654 |
536 |
$8K |
| 90651 |
|
100 |
76 |
$5K |
| 90656 |
|
204 |
193 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
199 |
178 |
$2K |
| 90716 |
|
132 |
114 |
$2K |
| 90707 |
|
112 |
102 |
$2K |
| 90734 |
|
81 |
57 |
$2K |
| 90698 |
|
82 |
70 |
$1K |
| 83655 |
|
87 |
76 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
31 |
$766.85 |
| 91321 |
|
41 |
36 |
$685.11 |
| 90696 |
|
38 |
25 |
$597.63 |
| 90710 |
|
38 |
25 |
$597.63 |
| 90700 |
|
58 |
36 |
$455.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
13 |
$420.50 |
| 90715 |
|
12 |
12 |
$222.09 |
| 90744 |
|
14 |
13 |
$89.60 |
| 85018 |
|
37 |
37 |
$85.84 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
31 |
15 |
$5.42 |