| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,472 |
2,152 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,086 |
934 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,224 |
937 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
908 |
694 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
654 |
566 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,665 |
1,155 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
292 |
216 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
502 |
457 |
$7K |
| 96112 |
|
83 |
58 |
$6K |
| 96127 |
|
1,808 |
1,334 |
$6K |
| 96160 |
|
1,466 |
1,142 |
$4K |
| 99429 |
|
218 |
200 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 94760 |
|
563 |
481 |
$1K |
| 85018 |
|
333 |
276 |
$856.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
33 |
$780.36 |
| 94010 |
|
34 |
29 |
$770.68 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
29 |
$545.07 |
| 92551 |
|
712 |
521 |
$279.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
352 |
201 |
$194.81 |
| 99173 |
|
1,035 |
770 |
$123.34 |
| 81002 |
|
14 |
13 |
$43.65 |
| 96161 |
|
27 |
14 |
$36.35 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
42 |
$18.45 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
18 |
17 |
$0.15 |
| 90651 |
|
104 |
53 |
$0.00 |
| 90723 |
|
382 |
249 |
$0.00 |
| 90647 |
|
340 |
201 |
$0.00 |
| 90657 |
|
90 |
66 |
$0.00 |
| 90696 |
|
51 |
30 |
$0.00 |
| 36416 |
|
42 |
14 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90670 |
|
520 |
351 |
$0.00 |
| 90633 |
|
208 |
113 |
$0.00 |
| 5250F |
|
400 |
329 |
$0.00 |
| 90658 |
|
170 |
150 |
$0.00 |
| 90710 |
|
52 |
31 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90734 |
|
52 |
18 |
$0.00 |
| 90655 |
|
20 |
19 |
$0.00 |