| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,653 |
18,310 |
$901K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,655 |
8,494 |
$365K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,067 |
6,799 |
$325K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,293 |
17,142 |
$274K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,674 |
6,544 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,949 |
4,716 |
$157K |
| 96130 |
|
3,591 |
3,583 |
$111K |
| 92587 |
|
13,386 |
13,362 |
$106K |
| 97803 |
|
7,180 |
7,169 |
$81K |
| 90461 |
|
5,399 |
5,316 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,033 |
1,974 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,105 |
1,060 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,085 |
2,016 |
$39K |
| 99173 |
|
12,051 |
12,044 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,255 |
4,186 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
11,897 |
11,788 |
$17K |
| H0031 |
Mental health assessment, by non-physician |
451 |
451 |
$14K |
| 96127 |
|
5,782 |
5,770 |
$9K |
| 99441 |
|
202 |
197 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
365 |
341 |
$2K |
| 0002A |
|
52 |
52 |
$1K |
| 90670 |
|
1,623 |
1,618 |
$1K |
| 99442 |
|
49 |
45 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
87 |
85 |
$962.35 |
| 99381 |
|
26 |
26 |
$848.30 |
| 90734 |
|
1,325 |
1,323 |
$813.03 |
| 90651 |
|
1,530 |
1,526 |
$752.11 |
| 0071A |
|
33 |
32 |
$672.46 |
| 0001A |
|
48 |
47 |
$635.74 |
| 90620 |
|
837 |
837 |
$629.37 |
| 0072A |
|
15 |
15 |
$541.95 |
| 90686 |
|
3,023 |
3,010 |
$513.59 |
| 86580 |
|
72 |
72 |
$497.11 |
| 90688 |
|
766 |
764 |
$401.79 |
| 93000 |
|
27 |
27 |
$261.69 |
| 90723 |
|
1,034 |
1,031 |
$227.07 |
| 90710 |
|
1,018 |
1,018 |
$223.33 |
| 99493 |
|
12 |
12 |
$173.90 |
| 90648 |
|
1,523 |
1,521 |
$120.23 |
| 90715 |
|
613 |
613 |
$105.36 |
| 96160 |
|
386 |
386 |
$97.08 |
| 90633 |
|
1,469 |
1,468 |
$89.15 |
| 90672 |
|
138 |
134 |
$53.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$49.60 |
| 90696 |
|
233 |
233 |
$44.85 |
| A7015 |
Aerosol mask, used with dme nebulizer |
72 |
70 |
$18.09 |
| 90687 |
|
66 |
66 |
$9.40 |
| 4004F |
|
2,760 |
2,744 |
$0.00 |
| 3016F |
|
2,722 |
2,706 |
$0.00 |
| 90700 |
|
113 |
113 |
$0.00 |
| 91300 |
|
106 |
85 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 90756 |
|
32 |
32 |
$0.00 |
| 90697 |
|
25 |
25 |
$0.00 |
| 1220F |
|
2,677 |
2,661 |
$0.00 |
| 90680 |
|
671 |
670 |
$0.00 |
| 4293F |
|
1,605 |
1,595 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90677 |
|
95 |
94 |
$0.00 |
| 91307 |
|
18 |
17 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90656 |
|
161 |
160 |
$0.00 |