| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,184 |
13,872 |
$948K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,050 |
5,568 |
$544K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,097 |
6,629 |
$255K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,600 |
1,572 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,182 |
1,171 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,850 |
4,753 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
886 |
868 |
$75K |
| 92552 |
|
1,683 |
1,680 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
365 |
362 |
$28K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,936 |
2,932 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,053 |
2,012 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,430 |
2,395 |
$19K |
| 90461 |
|
860 |
828 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
5,024 |
4,896 |
$16K |
| 99188 |
|
757 |
752 |
$14K |
| 92551 |
|
1,412 |
1,380 |
$14K |
| 95930 |
|
240 |
240 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
338 |
337 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
589 |
587 |
$8K |
| 96127 |
|
929 |
901 |
$6K |
| 3008F |
|
3,889 |
3,790 |
$5K |
| 90686 |
|
942 |
936 |
$4K |
| 96161 |
|
1,345 |
1,339 |
$4K |
| 92587 |
|
215 |
214 |
$3K |
| 99173 |
|
3,030 |
2,985 |
$3K |
| 81002 |
|
4,039 |
3,992 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
143 |
139 |
$2K |
| 96160 |
|
549 |
530 |
$1K |
| 90670 |
|
84 |
82 |
$958.80 |
| 86580 |
|
135 |
132 |
$865.60 |
| 85018 |
|
385 |
382 |
$750.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
23 |
$728.66 |
| 90734 |
|
62 |
59 |
$692.26 |
| 90620 |
|
31 |
30 |
$671.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
39 |
$642.80 |
| 90651 |
|
37 |
37 |
$474.87 |
| 90688 |
|
62 |
62 |
$440.30 |
| 36416 |
|
137 |
129 |
$298.39 |
| 36406 |
|
15 |
15 |
$238.79 |
| 90698 |
|
13 |
13 |
$186.17 |
| 90661 |
|
132 |
129 |
$139.53 |
| 90633 |
|
13 |
13 |
$139.50 |
| 83655 |
|
97 |
97 |
$132.65 |
| 94760 |
|
409 |
381 |
$98.62 |
| 81025 |
|
13 |
13 |
$56.94 |
| 90715 |
|
16 |
16 |
$52.41 |
| 97802 |
|
1,143 |
1,092 |
$46.00 |
| 90685 |
|
13 |
13 |
$40.19 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
27 |
25 |
$29.10 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
187 |
182 |
$0.00 |
| 90677 |
|
33 |
28 |
$0.00 |