| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,111 |
16,832 |
$144K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,140 |
3,045 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,927 |
6,469 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,116 |
3,087 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,135 |
4,102 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,473 |
2,462 |
$14K |
| 99188 |
|
674 |
674 |
$14K |
| 99381 |
|
181 |
179 |
$12K |
| 81003 |
|
4,451 |
4,399 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,075 |
1,057 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
134 |
131 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,074 |
1,051 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,153 |
1,127 |
$4K |
| 0761 |
|
239 |
209 |
$4K |
| 99460 |
|
50 |
50 |
$3K |
| 0760 |
|
93 |
89 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
69 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
67 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
14 |
$1K |
| 85018 |
|
2,086 |
2,056 |
$870.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
51 |
47 |
$759.43 |
| 71046 |
Radiologic examination, chest; 2 views |
81 |
79 |
$570.60 |
| T1015 |
Clinic visit/encounter, all-inclusive |
224 |
77 |
$476.13 |
| 90710 |
|
329 |
329 |
$448.92 |
| 90688 |
|
343 |
339 |
$409.56 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
234 |
225 |
$399.62 |
| 92552 |
|
5,074 |
5,068 |
$346.46 |
| 86580 |
|
66 |
65 |
$221.76 |
| 96127 |
|
30 |
29 |
$201.95 |
| 81025 |
|
259 |
250 |
$140.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
74 |
73 |
$128.10 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$125.43 |
| 90696 |
|
323 |
323 |
$122.47 |
| 88720 |
|
14 |
12 |
$72.24 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
251 |
233 |
$27.56 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
15 |
$0.73 |
| 0510 |
|
640 |
594 |
$0.00 |
| 90633 |
|
1,045 |
1,045 |
$0.00 |
| 0456 |
|
375 |
357 |
$0.00 |
| 90649 |
|
439 |
439 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
20 |
$0.00 |
| 90670 |
|
2,268 |
2,258 |
$0.00 |
| 90715 |
|
538 |
538 |
$0.00 |
| 90681 |
|
321 |
321 |
$0.00 |
| 90700 |
|
230 |
230 |
$0.00 |
| 90707 |
|
311 |
311 |
$0.00 |
| 59425 |
|
267 |
172 |
$0.00 |
| 90685 |
|
154 |
153 |
$0.00 |
| 90658 |
|
660 |
659 |
$0.00 |
| 92553 |
|
137 |
137 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
20 |
16 |
$0.00 |
| 90734 |
|
299 |
299 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
16 |
16 |
$0.00 |
| 90723 |
|
1,371 |
1,367 |
$0.00 |
| 90647 |
|
1,281 |
1,276 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,889 |
1,803 |
$0.00 |
| 90657 |
|
733 |
733 |
$0.00 |
| 90716 |
|
307 |
307 |
$0.00 |
| 90686 |
|
930 |
921 |
$0.00 |
| 90620 |
|
49 |
49 |
$0.00 |
| 90651 |
|
22 |
22 |
$0.00 |