| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,681 |
4,211 |
$342K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,337 |
1,307 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,409 |
1,388 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
828 |
815 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
371 |
353 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
758 |
721 |
$33K |
| 92551 |
|
2,825 |
2,767 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
156 |
153 |
$18K |
| 90686 |
|
684 |
681 |
$16K |
| 90651 |
|
595 |
586 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,436 |
1,398 |
$12K |
| 90620 |
|
546 |
522 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
4,536 |
4,365 |
$12K |
| 90734 |
|
465 |
454 |
$11K |
| 96127 |
|
1,873 |
1,829 |
$9K |
| 90670 |
|
368 |
357 |
$8K |
| 90698 |
|
365 |
352 |
$8K |
| 99177 |
|
1,828 |
1,781 |
$7K |
| 92587 |
|
344 |
333 |
$6K |
| 90680 |
|
221 |
215 |
$5K |
| 90715 |
|
209 |
207 |
$5K |
| 90633 |
|
194 |
190 |
$4K |
| 90710 |
|
176 |
176 |
$4K |
| 99173 |
|
1,524 |
1,514 |
$4K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
587 |
573 |
$3K |
| 90696 |
|
92 |
91 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
243 |
242 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
78 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |
| 81003 |
|
597 |
593 |
$1K |
| 96160 |
|
1,004 |
976 |
$1K |
| 90744 |
|
42 |
41 |
$956.32 |
| 90707 |
|
30 |
29 |
$651.84 |
| 99051 |
|
84 |
78 |
$440.00 |
| 90716 |
|
16 |
16 |
$372.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
87 |
81 |
$367.92 |
| 3011F |
|
57 |
57 |
$300.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$222.75 |
| 96161 |
|
69 |
67 |
$79.95 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
13 |
$9.90 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
13 |
$7.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
13 |
$0.60 |