| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,091 |
16,098 |
$780K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,259 |
6,000 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,988 |
1,931 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,526 |
1,491 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
858 |
835 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
578 |
566 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
525 |
477 |
$24K |
| 90461 |
|
2,455 |
1,967 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
3,204 |
3,138 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
227 |
223 |
$14K |
| 90651 |
|
434 |
369 |
$3K |
| 92551 |
|
1,636 |
1,503 |
$2K |
| 90688 |
|
3,059 |
2,809 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
429 |
308 |
$2K |
| 90716 |
|
825 |
688 |
$2K |
| 90619 |
|
238 |
202 |
$2K |
| 36410 |
|
112 |
105 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
286 |
269 |
$758.43 |
| 90707 |
|
708 |
600 |
$750.04 |
| 90633 |
|
965 |
807 |
$658.45 |
| 90686 |
|
260 |
257 |
$493.90 |
| 90700 |
|
1,221 |
1,027 |
$469.90 |
| 90671 |
|
977 |
804 |
$458.06 |
| 90620 |
|
45 |
43 |
$422.64 |
| 99173 |
|
2,658 |
2,418 |
$361.80 |
| 90680 |
|
507 |
409 |
$325.96 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
579 |
333 |
$230.02 |
| 90648 |
|
1,123 |
934 |
$217.04 |
| 90713 |
|
833 |
688 |
$172.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
186 |
$168.96 |
| 94664 |
|
21 |
21 |
$167.97 |
| 90734 |
|
19 |
14 |
$150.00 |
| 90696 |
|
245 |
206 |
$137.40 |
| 90715 |
|
128 |
106 |
$105.00 |
| 90744 |
|
473 |
412 |
$80.07 |
| 94760 |
|
414 |
284 |
$16.19 |
| 90670 |
|
47 |
47 |
$2.00 |