| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,507 |
43,453 |
$3.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,022 |
42,798 |
$2.03M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49,081 |
30,240 |
$1.34M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,680 |
11,318 |
$854K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,331 |
11,302 |
$847K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34,845 |
30,972 |
$776K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,146 |
8,037 |
$672K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,783 |
9,551 |
$631K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,805 |
3,615 |
$233K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,453 |
1,383 |
$221K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,036 |
21,710 |
$165K |
| 96127 |
|
29,119 |
22,692 |
$146K |
| 92551 |
|
21,453 |
18,788 |
$145K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
395 |
389 |
$81K |
| 99173 |
|
14,593 |
12,910 |
$71K |
| 81002 |
|
32,236 |
27,946 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,900 |
6,204 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,271 |
2,003 |
$58K |
| 3008F |
|
72,858 |
61,706 |
$55K |
| 99460 |
|
1,077 |
1,000 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,899 |
2,120 |
$48K |
| 94760 |
|
52,050 |
42,868 |
$48K |
| 36416 |
|
29,409 |
25,818 |
$41K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
750 |
710 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
546 |
451 |
$34K |
| 96161 |
|
2,404 |
2,018 |
$31K |
| 99177 |
|
4,465 |
3,821 |
$26K |
| 99381 |
|
238 |
202 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,114 |
1,894 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
827 |
612 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
129 |
128 |
$9K |
| 90651 |
|
2,862 |
2,443 |
$9K |
| 90734 |
|
2,577 |
2,191 |
$8K |
| 90686 |
|
5,567 |
4,961 |
$8K |
| 85018 |
|
3,771 |
3,441 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,856 |
3,229 |
$6K |
| 90620 |
|
507 |
437 |
$6K |
| 42830 |
|
70 |
68 |
$5K |
| 99462 |
|
193 |
168 |
$5K |
| 90461 |
|
15,856 |
10,486 |
$4K |
| 90670 |
|
8,021 |
7,369 |
$3K |
| 90716 |
|
2,987 |
2,711 |
$3K |
| 92557 |
|
93 |
87 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
38 |
$2K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
218 |
$2K |
| 3074F |
|
5,272 |
4,316 |
$2K |
| 94664 |
|
172 |
140 |
$2K |
| 3079F |
|
3,116 |
2,601 |
$2K |
| 3078F |
|
3,417 |
2,801 |
$2K |
| 90707 |
|
2,971 |
2,698 |
$1K |
| 99385 |
|
15 |
13 |
$1K |
| 81025 |
|
291 |
248 |
$1K |
| 90715 |
|
970 |
817 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
64 |
$1K |
| 99384 |
|
14 |
13 |
$963.51 |
| 92552 |
|
62 |
58 |
$942.13 |
| 99383 |
|
15 |
12 |
$933.18 |
| 3080F |
|
803 |
645 |
$900.00 |
| 3077F |
|
786 |
638 |
$891.37 |
| 82270 |
|
352 |
230 |
$851.35 |
| 87807 |
|
79 |
67 |
$775.07 |
| 90723 |
|
5,559 |
5,098 |
$728.89 |
| 90633 |
|
3,381 |
3,048 |
$630.86 |
| 90688 |
|
1,031 |
884 |
$586.64 |
| 3075F |
|
884 |
738 |
$520.00 |
| 90680 |
|
493 |
449 |
$445.24 |
| 82962 |
|
148 |
108 |
$414.52 |
| 92567 |
|
28 |
27 |
$358.84 |
| 1160F |
|
44 |
32 |
$320.00 |
| 1159F |
|
44 |
32 |
$320.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
16 |
14 |
$220.00 |
| 90648 |
|
6,390 |
5,850 |
$208.05 |
| 90696 |
|
284 |
249 |
$206.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
132 |
102 |
$90.40 |
| 99051 |
|
155 |
127 |
$81.24 |
| 90697 |
|
521 |
451 |
$72.00 |
| 90677 |
|
339 |
296 |
$40.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
44 |
$14.70 |
| 90681 |
|
1,079 |
959 |
$2.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
32 |
27 |
$1.56 |
| 90700 |
|
144 |
115 |
$1.00 |
| 94150 |
|
45 |
36 |
$0.00 |
| 90685 |
|
30 |
26 |
$0.00 |
| 99001 |
|
84 |
67 |
$0.00 |
| 99000 |
|
1,809 |
1,555 |
$0.00 |
| 3044F |
|
26 |
25 |
$0.00 |