| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,217 |
1,994 |
$87K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
351 |
34 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
226 |
223 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
254 |
252 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
596 |
583 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
223 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
185 |
$14K |
| 90670 |
|
184 |
183 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
398 |
387 |
$12K |
| 90461 |
|
312 |
308 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
483 |
240 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
191 |
$6K |
| 90723 |
|
149 |
148 |
$5K |
| 90633 |
|
281 |
280 |
$4K |
| 90680 |
|
51 |
51 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
174 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
22 |
15 |
$2K |
| 97802 |
|
264 |
254 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
38 |
19 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
37 |
35 |
$2K |
| 96127 |
|
337 |
328 |
$2K |
| 90647 |
|
119 |
118 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
76 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$971.10 |
| 99460 |
|
17 |
17 |
$689.85 |
| 90651 |
|
15 |
15 |
$342.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$145.47 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
13 |
$95.00 |
| 90734 |
|
25 |
25 |
$86.89 |
| 96161 |
|
14 |
14 |
$37.18 |
| 90715 |
|
14 |
14 |
$29.20 |
| 96160 |
|
23 |
22 |
$6.76 |