| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,319 |
23,576 |
$1.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,525 |
16,468 |
$1.44M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,871 |
17,462 |
$778K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,880 |
8,775 |
$731K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,142 |
7,055 |
$600K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,544 |
6,462 |
$585K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,155 |
4,858 |
$377K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,320 |
4,182 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,327 |
2,303 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,298 |
2,267 |
$32K |
| 96160 |
|
6,608 |
6,503 |
$18K |
| 99051 |
|
1,082 |
1,042 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
693 |
692 |
$15K |
| 99381 |
|
146 |
145 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
325 |
$11K |
| 96127 |
|
2,261 |
2,251 |
$10K |
| 99215 |
Prolong outpt/office vis |
43 |
41 |
$5K |
| 92551 |
|
8,978 |
8,366 |
$3K |
| 96161 |
|
1,569 |
1,310 |
$2K |
| 99188 |
|
140 |
140 |
$2K |
| 81002 |
|
311 |
291 |
$890.11 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
60 |
$780.96 |
| 69210 |
|
15 |
15 |
$692.72 |
| 90473 |
|
16 |
16 |
$341.28 |
| 99173 |
|
4,066 |
3,831 |
$341.19 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
25 |
25 |
$220.79 |
| 90716 |
|
1,188 |
1,160 |
$141.19 |
| 90686 |
|
5,387 |
5,161 |
$58.32 |
| 90670 |
|
1,864 |
1,755 |
$32.12 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
50 |
48 |
$31.10 |
| 90723 |
|
383 |
382 |
$29.33 |
| 90633 |
|
1,035 |
1,013 |
$25.34 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$21.84 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$19.54 |
| 90680 |
|
1,862 |
1,478 |
$16.73 |
| 90647 |
|
535 |
500 |
$15.29 |
| 90672 |
|
114 |
114 |
$7.68 |
| 90707 |
|
1,172 |
1,143 |
$1.87 |
| 90671 |
|
1,668 |
1,054 |
$1.52 |
| 90734 |
|
1,095 |
1,072 |
$0.01 |
| 90651 |
|
1,786 |
1,745 |
$0.01 |
| 90700 |
|
89 |
87 |
$0.00 |
| G9920 |
Screening performed and negative |
380 |
380 |
$0.00 |
| 90715 |
|
99 |
98 |
$0.00 |
| 90621 |
|
47 |
47 |
$0.00 |
| 90697 |
|
473 |
335 |
$0.00 |
| 90620 |
|
144 |
142 |
$0.00 |
| 90696 |
|
103 |
100 |
$0.00 |
| 90656 |
|
254 |
249 |
$0.00 |