| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,437 |
7,526 |
$816K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,119 |
6,118 |
$431K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,440 |
3,980 |
$427K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,886 |
3,582 |
$366K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,878 |
2,322 |
$263K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,568 |
2,346 |
$257K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,624 |
7,640 |
$172K |
| 94010 |
|
5,586 |
4,656 |
$151K |
| 92570 |
|
3,116 |
2,595 |
$75K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,618 |
4,087 |
$56K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
113 |
96 |
$42K |
| 92587 |
|
3,190 |
2,711 |
$31K |
| 94664 |
|
2,097 |
1,775 |
$27K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,315 |
1,090 |
$27K |
| 99381 |
|
230 |
214 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
152 |
$15K |
| 99383 |
|
125 |
109 |
$13K |
| 2015F |
|
709 |
643 |
$9K |
| 99384 |
|
59 |
50 |
$6K |
| 90474 |
|
512 |
482 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
116 |
103 |
$3K |
| 99382 |
|
26 |
25 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
116 |
102 |
$1K |
| 30901 |
|
13 |
13 |
$815.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
33 |
$745.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
30 |
$723.29 |
| 99174 |
|
849 |
749 |
$241.66 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
50 |
46 |
$115.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
13 |
$35.87 |
| 81002 |
|
43 |
19 |
$32.11 |
| 90686 |
|
1,567 |
1,436 |
$15.15 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
116 |
103 |
$13.60 |
| 90651 |
|
773 |
688 |
$0.00 |
| 90744 |
|
794 |
754 |
$0.00 |
| 90680 |
|
593 |
561 |
$0.00 |
| 3352F |
|
530 |
473 |
$0.00 |
| 90647 |
|
172 |
164 |
$0.00 |
| 90716 |
|
190 |
175 |
$0.00 |
| 90698 |
|
642 |
601 |
$0.00 |
| 90696 |
|
332 |
303 |
$0.00 |
| 90713 |
|
471 |
452 |
$0.00 |
| 90670 |
|
1,566 |
1,493 |
$0.00 |
| 90633 |
|
880 |
821 |
$0.00 |
| 90707 |
|
165 |
150 |
$0.00 |
| 90734 |
|
733 |
676 |
$0.00 |
| 90648 |
|
576 |
558 |
$0.00 |
| 3023F |
|
506 |
468 |
$0.00 |
| 90621 |
|
271 |
241 |
$0.00 |
| 90710 |
|
320 |
293 |
$0.00 |
| 90700 |
|
863 |
831 |
$0.00 |
| 90715 |
|
428 |
384 |
$0.00 |
| 90685 |
|
91 |
87 |
$0.00 |