| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,489 |
31,372 |
$1.46M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34,759 |
14,794 |
$562K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,567 |
6,931 |
$420K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,429 |
5,873 |
$360K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,567 |
5,177 |
$354K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,169 |
4,668 |
$258K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,070 |
3,756 |
$253K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24,636 |
22,232 |
$193K |
| 90671 |
|
796 |
608 |
$128K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,457 |
2,267 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,017 |
2,796 |
$34K |
| 99381 |
|
423 |
395 |
$26K |
| 92551 |
|
2,306 |
2,064 |
$14K |
| 90670 |
|
3,731 |
3,448 |
$12K |
| 87428 |
|
334 |
301 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
46 |
44 |
$9K |
| 96127 |
|
2,507 |
2,323 |
$9K |
| 90633 |
|
2,409 |
2,196 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
946 |
908 |
$7K |
| 99460 |
|
80 |
78 |
$6K |
| 99383 |
|
83 |
79 |
$5K |
| 90651 |
|
1,940 |
1,784 |
$4K |
| 85018 |
|
2,295 |
2,140 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
407 |
292 |
$4K |
| 81002 |
|
1,478 |
1,390 |
$4K |
| 99382 |
|
53 |
51 |
$3K |
| 90716 |
|
2,303 |
2,181 |
$3K |
| 36416 |
|
1,983 |
1,846 |
$3K |
| 99422 |
|
147 |
128 |
$3K |
| 0072A |
|
26 |
26 |
$3K |
| 90648 |
|
4,498 |
4,029 |
$2K |
| 99384 |
|
31 |
29 |
$2K |
| 90707 |
|
2,345 |
2,210 |
$2K |
| 90723 |
|
1,886 |
1,716 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
58 |
56 |
$2K |
| 90734 |
|
1,558 |
1,458 |
$2K |
| 90620 |
|
629 |
603 |
$1K |
| 90700 |
|
1,908 |
1,751 |
$919.89 |
| 90686 |
|
2,472 |
2,284 |
$829.36 |
| 90656 |
|
337 |
306 |
$622.15 |
| 90681 |
|
1,286 |
1,191 |
$524.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$482.31 |
| 90715 |
|
699 |
660 |
$380.16 |
| 90696 |
|
756 |
729 |
$377.95 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
36 |
34 |
$360.16 |
| 99421 |
|
34 |
27 |
$340.41 |
| 90713 |
|
477 |
449 |
$309.55 |
| 90658 |
|
284 |
273 |
$165.00 |
| 90685 |
|
116 |
105 |
$160.00 |
| 86580 |
|
32 |
30 |
$142.72 |
| 80305 |
|
12 |
12 |
$120.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
35 |
33 |
$56.17 |
| 90657 |
|
99 |
96 |
$40.00 |
| 90461 |
|
229 |
188 |
$10.00 |
| 91300 |
|
77 |
71 |
$0.07 |
| 91307 |
|
132 |
120 |
$0.03 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
35 |
33 |
$0.00 |
| 99188 |
|
16 |
15 |
$0.00 |