| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,958 |
22,579 |
$1.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,006 |
27,773 |
$1.61M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,070 |
23,532 |
$909K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,666 |
10,307 |
$873K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,251 |
9,070 |
$754K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,749 |
7,591 |
$601K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,844 |
5,626 |
$515K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,436 |
7,000 |
$102K |
| 92551 |
|
18,085 |
16,138 |
$74K |
| 99051 |
|
5,197 |
4,741 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,568 |
2,522 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,140 |
2,040 |
$30K |
| 99381 |
|
236 |
233 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
616 |
587 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,056 |
1,044 |
$16K |
| 94760 |
|
11,686 |
10,168 |
$10K |
| 96160 |
|
3,271 |
2,996 |
$9K |
| 99173 |
|
8,756 |
7,842 |
$9K |
| 99188 |
|
444 |
442 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
88 |
84 |
$1K |
| 81002 |
|
346 |
322 |
$1K |
| 90686 |
|
6,207 |
4,800 |
$713.32 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
98 |
84 |
$527.02 |
| 90685 |
|
906 |
725 |
$370.60 |
| 90670 |
|
4,349 |
3,963 |
$309.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$231.07 |
| 86580 |
|
25 |
25 |
$163.77 |
| 90647 |
|
2,744 |
2,473 |
$161.58 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
157 |
143 |
$156.71 |
| 90723 |
|
2,592 |
2,378 |
$123.77 |
| 90680 |
|
2,131 |
2,004 |
$123.68 |
| 90633 |
|
1,485 |
1,324 |
$108.24 |
| 90707 |
|
1,340 |
1,147 |
$108.24 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
97 |
84 |
$96.56 |
| 90716 |
|
1,332 |
1,138 |
$61.92 |
| A7015 |
Aerosol mask, used with dme nebulizer |
92 |
79 |
$41.19 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
89 |
84 |
$29.95 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
38 |
37 |
$10.02 |
| 90651 |
|
1,167 |
977 |
$0.04 |
| 90672 |
|
198 |
116 |
$0.03 |
| 90734 |
|
932 |
780 |
$0.01 |
| 90621 |
|
114 |
94 |
$0.01 |
| 90700 |
|
97 |
83 |
$0.01 |
| 90696 |
|
43 |
41 |
$0.00 |
| 99072 |
|
1,764 |
936 |
$0.00 |
| 90715 |
|
229 |
200 |
$0.00 |