| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,063 |
1,746 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,323 |
1,790 |
$118K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
686 |
572 |
$40K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,297 |
1,091 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
340 |
297 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
282 |
235 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
986 |
858 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
401 |
346 |
$12K |
| 92587 |
|
440 |
383 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
84 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
180 |
$6K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
222 |
212 |
$5K |
| 99215 |
Prolong outpt/office vis |
60 |
42 |
$5K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
131 |
129 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,114 |
421 |
$4K |
| 94664 |
|
376 |
354 |
$3K |
| 90651 |
|
123 |
112 |
$3K |
| 88738 |
|
361 |
326 |
$2K |
| 83655 |
|
113 |
108 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
50 |
$1K |
| 96160 |
|
538 |
475 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
12 |
$1K |
| 90686 |
|
369 |
337 |
$827.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
95 |
70 |
$749.25 |
| A7015 |
Aerosol mask, used with dme nebulizer |
406 |
340 |
$628.90 |
| 90734 |
|
33 |
29 |
$595.05 |
| 96161 |
|
298 |
262 |
$581.26 |
| 92552 |
|
325 |
304 |
$508.93 |
| 92567 |
|
317 |
271 |
$435.44 |
| 99051 |
|
19 |
17 |
$425.04 |
| 80061 |
Lipid panel |
26 |
26 |
$380.19 |
| 96127 |
|
123 |
57 |
$285.52 |
| 90621 |
|
15 |
14 |
$273.72 |
| 85018 |
|
354 |
295 |
$216.04 |
| 87807 |
|
14 |
13 |
$183.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
16 |
$142.20 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
41 |
$103.05 |
| 90715 |
|
15 |
12 |
$86.50 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
60 |
56 |
$81.99 |
| 81002 |
|
33 |
26 |
$63.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
13 |
$37.75 |
| 99173 |
|
676 |
606 |
$32.36 |
| 99177 |
|
362 |
308 |
$18.51 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$16.65 |
| 36416 |
|
217 |
199 |
$2.14 |
| 90633 |
|
41 |
36 |
$0.00 |
| 90685 |
|
37 |
28 |
$0.00 |
| 90670 |
|
36 |
24 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
48 |
40 |
$0.00 |