| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,354 |
2,228 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,046 |
2,030 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
995 |
901 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
761 |
745 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
446 |
446 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
124 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
210 |
$9K |
| 99188 |
|
717 |
707 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
307 |
306 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
54 |
$5K |
| 92567 |
|
393 |
369 |
$5K |
| 99070 |
|
314 |
304 |
$4K |
| 99401 |
|
584 |
573 |
$3K |
| D1206 |
Topical application of fluoride varnish |
52 |
51 |
$2K |
| 99383 |
|
20 |
20 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
111 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
64 |
63 |
$2K |
| 90686 |
|
356 |
355 |
$888.80 |
| 90651 |
|
238 |
237 |
$697.43 |
| 90680 |
|
225 |
225 |
$533.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
121 |
119 |
$439.32 |
| 90670 |
|
669 |
658 |
$345.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
44 |
$321.90 |
| 96127 |
|
59 |
59 |
$281.86 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$160.62 |
| 87275 |
|
17 |
16 |
$139.06 |
| 87276 |
|
17 |
16 |
$139.06 |
| 36416 |
|
12 |
12 |
$59.88 |
| 90685 |
|
60 |
59 |
$44.44 |
| 94664 |
|
14 |
13 |
$13.89 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
13 |
$6.76 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
14 |
13 |
$6.48 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
13 |
12 |
$4.44 |
| 90633 |
|
166 |
163 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
16 |
$0.00 |
| 90648 |
|
56 |
55 |
$0.00 |
| 87400 |
|
17 |
16 |
$0.00 |
| 90734 |
|
61 |
60 |
$0.00 |
| 90710 |
|
105 |
104 |
$0.00 |
| 90681 |
|
19 |
19 |
$0.00 |
| 99173 |
|
32 |
32 |
$0.00 |
| 90700 |
|
14 |
13 |
$0.00 |
| 90715 |
|
24 |
23 |
$0.00 |
| 90698 |
|
290 |
286 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 90744 |
|
75 |
75 |
$0.00 |