| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,711 |
4,711 |
$513K |
| 99199 |
Unlisted special service, procedure or report |
35,925 |
34,690 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,192 |
921 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
965 |
839 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
830 |
687 |
$76K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,613 |
3,027 |
$66K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,018 |
1,692 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
666 |
558 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
238 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,669 |
1,468 |
$22K |
| 99215 |
Prolong outpt/office vis |
119 |
113 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
978 |
819 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
539 |
254 |
$7K |
| 90474 |
|
96 |
77 |
$2K |
| 92551 |
|
652 |
563 |
$1K |
| 96160 |
|
546 |
442 |
$1K |
| 99173 |
|
880 |
764 |
$593.01 |
| 90686 |
|
802 |
681 |
$518.33 |
| 96127 |
|
125 |
97 |
$435.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
17 |
$173.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$163.60 |
| 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) |
47 |
45 |
$122.54 |
| 36416 |
|
206 |
161 |
$37.92 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
17 |
17 |
$1.09 |
| 90670 |
|
540 |
431 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90685 |
|
29 |
28 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 99000 |
|
935 |
776 |
$0.00 |
| 90698 |
|
522 |
424 |
$0.00 |
| 90716 |
|
57 |
48 |
$0.00 |
| 90677 |
|
51 |
50 |
$0.00 |
| 90680 |
|
80 |
67 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 90744 |
|
14 |
12 |
$0.00 |