| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,170 |
4,764 |
$340K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,343 |
1,322 |
$111K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
991 |
978 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
620 |
543 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
858 |
841 |
$64K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
540 |
488 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,399 |
3,298 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
391 |
332 |
$24K |
| 87428 |
|
434 |
421 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,607 |
1,542 |
$24K |
| 92551 |
|
1,302 |
1,261 |
$9K |
| 99177 |
|
1,242 |
1,228 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
532 |
508 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
66 |
66 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
97 |
95 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
101 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
69 |
$891.64 |
| 90480 |
|
26 |
26 |
$853.25 |
| 83525 |
|
24 |
24 |
$789.94 |
| 82728 |
|
16 |
16 |
$575.67 |
| 83655 |
|
41 |
41 |
$571.00 |
| 80050 |
General health panel |
12 |
12 |
$527.23 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
26 |
$518.49 |
| 99173 |
|
242 |
216 |
$517.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24 |
24 |
$401.64 |
| 87807 |
|
39 |
38 |
$363.00 |
| 90686 |
|
91 |
90 |
$42.50 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
21 |
13 |
$2.80 |