| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,416 |
18,208 |
$740K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,833 |
3,444 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,101 |
1,075 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
842 |
810 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
930 |
886 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,038 |
2,913 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,793 |
3,500 |
$39K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,073 |
869 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,616 |
1,570 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,281 |
1,194 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
286 |
282 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
472 |
464 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
396 |
340 |
$11K |
| 92551 |
|
652 |
629 |
$8K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
32 |
28 |
$7K |
| 99173 |
|
154 |
152 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
55 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
68 |
$5K |
| 90474 |
|
529 |
515 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
356 |
331 |
$4K |
| 87807 |
|
374 |
340 |
$4K |
| 94664 |
|
325 |
313 |
$3K |
| 90651 |
|
227 |
216 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
39 |
$2K |
| 90633 |
|
1,116 |
1,075 |
$2K |
| 69210 |
|
56 |
55 |
$1K |
| 85018 |
|
374 |
354 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 90670 |
|
775 |
752 |
$1K |
| 96127 |
|
384 |
364 |
$1K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
284 |
253 |
$1K |
| 98926 |
|
34 |
26 |
$1K |
| 90686 |
|
391 |
379 |
$730.89 |
| 90723 |
|
598 |
576 |
$685.15 |
| 90680 |
|
534 |
518 |
$680.77 |
| 90707 |
|
350 |
339 |
$673.42 |
| 90716 |
|
332 |
320 |
$648.79 |
| 90658 |
|
92 |
90 |
$592.05 |
| 90647 |
|
580 |
566 |
$490.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$452.04 |
| 99462 |
|
18 |
13 |
$349.50 |
| 90620 |
|
52 |
49 |
$337.90 |
| 81002 |
|
551 |
516 |
$337.04 |
| 90685 |
|
233 |
226 |
$276.56 |
| 90734 |
|
197 |
188 |
$233.63 |
| 90696 |
|
73 |
70 |
$190.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
84 |
75 |
$148.38 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
346 |
323 |
$128.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
84 |
77 |
$89.23 |
| 90715 |
|
75 |
70 |
$68.64 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
21 |
21 |
$41.09 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
69 |
65 |
$22.74 |
| 36416 |
|
72 |
69 |
$3.27 |
| 90832 |
Psychotherapy, 30 minutes with patient |
18 |
16 |
$0.00 |
| 90700 |
|
45 |
45 |
$0.00 |