| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
978 |
811 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
571 |
465 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
249 |
233 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
556 |
514 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
133 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
335 |
320 |
$13K |
| 94010 |
|
412 |
331 |
$10K |
| 92567 |
|
823 |
645 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
66 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
69 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
123 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
467 |
407 |
$5K |
| 99058 |
|
337 |
284 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
389 |
164 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
161 |
146 |
$3K |
| D1206 |
Topical application of fluoride varnish |
53 |
51 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
131 |
82 |
$2K |
| 94060 |
|
46 |
41 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
286 |
270 |
$2K |
| 92588 |
|
77 |
69 |
$2K |
| 92587 |
|
84 |
84 |
$1K |
| 93000 |
|
97 |
94 |
$1K |
| 87807 |
|
125 |
108 |
$1K |
| 99050 |
|
96 |
88 |
$947.68 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
41 |
$730.41 |
| 99188 |
|
25 |
23 |
$282.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
123 |
88 |
$78.14 |
| 94760 |
|
50 |
41 |
$58.44 |
| A7015 |
Aerosol mask, used with dme nebulizer |
46 |
41 |
$38.08 |
| 81002 |
|
12 |
12 |
$21.38 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
46 |
41 |
$7.93 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
22 |
14 |
$0.48 |
| 99000 |
|
299 |
266 |
$0.00 |
| 90686 |
|
72 |
71 |
$0.00 |
| 90744 |
|
14 |
12 |
$0.00 |
| 90670 |
|
26 |
25 |
$0.00 |
| 90700 |
|
78 |
72 |
$0.00 |
| 90713 |
|
44 |
41 |
$0.00 |
| 90648 |
|
17 |
17 |
$0.00 |
| 90685 |
|
44 |
41 |
$0.00 |