| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,180 |
3,664 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,922 |
1,805 |
$153K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
290 |
287 |
$36K |
| 92587 |
|
482 |
466 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,229 |
1,180 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
202 |
196 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
213 |
209 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
122 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,025 |
971 |
$11K |
| 97802 |
|
571 |
550 |
$11K |
| 90461 |
|
233 |
220 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
297 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
83 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
86 |
82 |
$976.42 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$934.64 |
| 99177 |
|
181 |
169 |
$802.84 |
| 96127 |
|
80 |
57 |
$303.66 |
| 99401 |
|
12 |
12 |
$302.43 |
| 81002 |
|
102 |
97 |
$228.81 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$195.72 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
14 |
$32.87 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.52 |