| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,200 |
18,597 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,746 |
6,038 |
$883K |
| 99199 |
Unlisted special service, procedure or report |
52,208 |
23,003 |
$258K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,251 |
1,910 |
$188K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,896 |
1,587 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,585 |
1,314 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,176 |
989 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,954 |
1,857 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
502 |
370 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,574 |
1,851 |
$26K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13,556 |
9,164 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,244 |
2,830 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,790 |
1,112 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,233 |
1,090 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
796 |
430 |
$14K |
| 80305 |
|
1,547 |
1,160 |
$13K |
| 90461 |
|
461 |
430 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
30 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12,473 |
8,467 |
$3K |
| 85018 |
|
1,286 |
1,143 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
62 |
$1K |
| 81000 |
|
1,021 |
834 |
$735.47 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
43 |
$528.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
22 |
12 |
$122.64 |
| 81003 |
|
31 |
27 |
$58.56 |
| 90670 |
|
485 |
391 |
$0.09 |
| 90734 |
|
218 |
157 |
$0.07 |
| 90656 |
|
121 |
87 |
$0.03 |
| 90633 |
|
131 |
119 |
$0.01 |
| 90658 |
|
13 |
12 |
$0.01 |
| 90680 |
|
56 |
27 |
$0.00 |
| 90744 |
|
93 |
63 |
$0.00 |
| 90698 |
|
64 |
27 |
$0.00 |
| 90649 |
|
14 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |