| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,273 |
7,380 |
$709K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,437 |
5,037 |
$676K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,112 |
3,013 |
$366K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,095 |
3,008 |
$335K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,594 |
2,487 |
$281K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,019 |
1,907 |
$202K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,831 |
3,585 |
$196K |
| 90686 |
|
4,123 |
4,039 |
$93K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,113 |
2,930 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,876 |
5,529 |
$51K |
| 90670 |
|
1,298 |
1,224 |
$39K |
| 90651 |
|
1,563 |
1,501 |
$35K |
| 90680 |
|
1,233 |
1,177 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,107 |
1,047 |
$26K |
| 90633 |
|
1,072 |
1,011 |
$24K |
| 99381 |
|
261 |
223 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,847 |
1,687 |
$23K |
| 90698 |
|
836 |
808 |
$19K |
| 90697 |
|
792 |
721 |
$18K |
| 90710 |
|
776 |
735 |
$18K |
| 90734 |
|
743 |
722 |
$17K |
| 90620 |
|
719 |
694 |
$17K |
| W7000 |
|
3,329 |
3,171 |
$16K |
| 96127 |
|
3,426 |
3,275 |
$16K |
| 90671 |
|
612 |
593 |
$15K |
| 90619 |
|
566 |
532 |
$13K |
| 90715 |
|
507 |
484 |
$12K |
| 36406 |
|
784 |
739 |
$11K |
| 92587 |
|
511 |
509 |
$10K |
| 90744 |
|
433 |
420 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
269 |
251 |
$7K |
| 90656 |
|
234 |
232 |
$5K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
531 |
527 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
38 |
$5K |
| 96161 |
|
1,700 |
1,334 |
$4K |
| 90696 |
|
138 |
136 |
$3K |
| 69210 |
|
54 |
52 |
$2K |
| 91321 |
|
76 |
66 |
$2K |
| 90661 |
|
84 |
82 |
$2K |
| 90716 |
|
42 |
42 |
$1K |
| 90700 |
|
38 |
38 |
$884.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
53 |
$780.95 |
| 86580 |
|
90 |
83 |
$588.50 |
| 90647 |
|
29 |
26 |
$535.44 |
| 91322 |
|
16 |
16 |
$486.24 |
| 94664 |
|
26 |
26 |
$361.84 |
| 2015F |
|
25 |
25 |
$342.50 |
| 90707 |
|
14 |
14 |
$325.92 |
| 3011F |
|
31 |
31 |
$309.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
56 |
54 |
$139.97 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
40 |
$91.96 |
| A7015 |
Aerosol mask, used with dme nebulizer |
59 |
56 |
$65.11 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
28 |
26 |
$2.60 |