| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,207 |
11,053 |
$601K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,273 |
3,760 |
$181K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,852 |
2,469 |
$179K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,170 |
1,963 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,890 |
1,603 |
$120K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,603 |
2,325 |
$86K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,299 |
4,493 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,519 |
1,638 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
478 |
425 |
$36K |
| 99460 |
|
390 |
358 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
367 |
336 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
175 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
502 |
441 |
$14K |
| 99177 |
|
1,094 |
940 |
$8K |
| 87807 |
|
680 |
572 |
$7K |
| 92558 |
|
1,458 |
1,270 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
495 |
477 |
$6K |
| 96160 |
|
392 |
338 |
$5K |
| 54150 |
|
25 |
24 |
$4K |
| 3008F |
|
365 |
290 |
$3K |
| 96127 |
|
486 |
428 |
$2K |
| 81002 |
|
865 |
707 |
$2K |
| 90670 |
|
1,904 |
1,669 |
$2K |
| 99442 |
|
80 |
29 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
79 |
73 |
$1K |
| 90698 |
|
1,074 |
946 |
$999.00 |
| 92588 |
|
14 |
12 |
$699.14 |
| 90680 |
|
829 |
730 |
$551.55 |
| 90473 |
|
48 |
47 |
$472.88 |
| 83655 |
|
19 |
17 |
$311.58 |
| 90672 |
|
55 |
51 |
$305.90 |
| 90734 |
|
33 |
29 |
$296.00 |
| 90716 |
|
267 |
247 |
$260.00 |
| 81003 |
|
121 |
99 |
$230.15 |
| 90633 |
|
394 |
355 |
$214.60 |
| 94664 |
|
13 |
13 |
$203.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$180.21 |
| 90707 |
|
182 |
168 |
$174.00 |
| 90686 |
|
1,161 |
1,042 |
$155.75 |
| 85018 |
|
37 |
37 |
$98.02 |
| 90744 |
|
501 |
455 |
$94.35 |
| 36416 |
|
19 |
17 |
$60.30 |
| 94760 |
|
37 |
36 |
$28.69 |
| 90648 |
|
610 |
530 |
$21.84 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
75 |
69 |
$11.27 |
| 90685 |
|
301 |
293 |
$0.00 |
| 90681 |
|
58 |
52 |
$0.00 |
| 90723 |
|
407 |
340 |
$0.00 |
| 90651 |
|
19 |
15 |
$0.00 |