| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,764 |
38,936 |
$945K |
| 96156 |
|
67,180 |
66,669 |
$802K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31,785 |
31,677 |
$674K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27,213 |
27,017 |
$575K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22,912 |
22,846 |
$572K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,898 |
14,647 |
$537K |
| G9920 |
Screening performed and negative |
52,066 |
51,893 |
$477K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,678 |
15,363 |
$416K |
| 92552 |
|
66,848 |
66,715 |
$398K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,499 |
30,560 |
$368K |
| 99381 |
|
2,923 |
2,876 |
$269K |
| 97802 |
|
25,523 |
24,916 |
$173K |
| 90697 |
|
5,152 |
5,121 |
$132K |
| 99383 |
|
3,194 |
3,160 |
$121K |
| 90651 |
|
13,446 |
13,392 |
$111K |
| 90686 |
|
22,806 |
22,733 |
$107K |
| 99384 |
|
2,054 |
2,022 |
$105K |
| 97803 |
|
45,418 |
45,345 |
$81K |
| 99382 |
|
1,834 |
1,804 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,845 |
3,824 |
$73K |
| 90670 |
|
13,990 |
13,954 |
$70K |
| 90633 |
|
12,563 |
12,517 |
$52K |
| 92551 |
|
9,973 |
9,944 |
$41K |
| 90744 |
|
6,612 |
6,568 |
$35K |
| 90698 |
|
6,135 |
6,093 |
$35K |
| 90700 |
|
8,339 |
8,310 |
$33K |
| 90681 |
|
5,308 |
5,256 |
$32K |
| 90715 |
|
8,109 |
8,075 |
$31K |
| 90734 |
|
6,278 |
6,257 |
$30K |
| 90716 |
|
6,672 |
6,651 |
$30K |
| 90710 |
|
6,709 |
6,695 |
$26K |
| 90707 |
|
5,766 |
5,757 |
$25K |
| 90648 |
|
5,628 |
5,608 |
$24K |
| 0072A |
|
573 |
572 |
$23K |
| 0071A |
|
550 |
547 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
352 |
352 |
$20K |
| 90713 |
|
4,125 |
4,116 |
$18K |
| 90696 |
|
4,264 |
4,261 |
$18K |
| 90620 |
|
4,911 |
4,900 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,635 |
2,576 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
268 |
263 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
75,161 |
52,271 |
$14K |
| G9919 |
Screening performed and positive and provision of recommendations |
1,480 |
1,463 |
$13K |
| 90619 |
|
4,193 |
4,192 |
$13K |
| 0002A |
|
159 |
159 |
$6K |
| 90671 |
|
1,773 |
1,770 |
$6K |
| 0001A |
|
135 |
134 |
$5K |
| 90680 |
|
1,160 |
1,156 |
$5K |
| 96150 |
|
1,045 |
1,038 |
$4K |
| 96127 |
|
21,712 |
21,503 |
$3K |
| 90685 |
|
308 |
280 |
$3K |
| 99173 |
|
50,578 |
50,495 |
$2K |
| 90688 |
|
498 |
498 |
$2K |
| 90723 |
|
375 |
375 |
$2K |
| 0003A |
|
34 |
34 |
$1K |
| 90674 |
|
1,037 |
1,036 |
$1K |
| 96151 |
|
504 |
501 |
$1K |
| 99188 |
|
368 |
350 |
$995.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,707 |
1,066 |
$925.58 |
| 90677 |
|
295 |
294 |
$918.00 |
| 0073A |
|
17 |
17 |
$680.00 |
| 83655 |
|
665 |
661 |
$637.38 |
| 90461 |
|
33,229 |
30,921 |
$535.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
423 |
405 |
$455.47 |
| 99385 |
|
14 |
14 |
$418.61 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$413.37 |
| 86580 |
|
229 |
228 |
$403.36 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,708 |
1,707 |
$326.60 |
| 90621 |
|
254 |
251 |
$261.00 |
| 85018 |
|
945 |
940 |
$174.49 |
| 81000 |
|
492 |
483 |
$92.84 |
| 94060 |
|
82 |
66 |
$45.03 |
| 81002 |
|
578 |
566 |
$44.20 |
| 94664 |
|
15 |
14 |
$18.58 |
| 94760 |
|
29 |
26 |
$16.59 |
| 17110 |
|
153 |
107 |
$8.00 |
| 99072 |
|
105 |
103 |
$4.46 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
356 |
327 |
$1.44 |
| 98960 |
|
343 |
330 |
$0.00 |
| 90672 |
|
20 |
20 |
$0.00 |
| 96160 |
|
258 |
253 |
$0.00 |
| 99442 |
|
330 |
319 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
54 |
$0.00 |
| 69209 |
|
30 |
29 |
$0.00 |
| 96161 |
|
878 |
870 |
$0.00 |
| 99406 |
|
648 |
639 |
$0.00 |
| 36416 |
|
435 |
433 |
$0.00 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
75 |
73 |
$0.00 |
| 81001 |
|
63 |
61 |
$0.00 |
| 99441 |
|
377 |
370 |
$0.00 |
| 93000 |
|
16 |
16 |
$0.00 |