| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,948 |
14,724 |
$826K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,278 |
8,116 |
$328K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,511 |
3,406 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,988 |
2,960 |
$240K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,221 |
3,067 |
$230K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,060 |
2,047 |
$165K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,949 |
5,829 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
576 |
572 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
314 |
310 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,517 |
1,408 |
$20K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
209 |
190 |
$3K |
| 99381 |
|
25 |
25 |
$2K |
| 99173 |
|
1,724 |
1,671 |
$2K |
| 81002 |
|
624 |
595 |
$2K |
| 90686 |
|
1,041 |
991 |
$281.32 |
| A7015 |
Aerosol mask, used with dme nebulizer |
222 |
196 |
$211.64 |
| 90670 |
|
1,377 |
1,271 |
$134.31 |
| J7510 |
Prednisolone oral, per 5 mg |
140 |
133 |
$40.91 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
193 |
175 |
$36.27 |
| 90648 |
|
1,322 |
1,201 |
$27.42 |
| 90681 |
|
134 |
123 |
$27.42 |
| 90723 |
|
833 |
766 |
$27.42 |
| 90707 |
|
127 |
122 |
$0.00 |
| 90633 |
|
179 |
170 |
$0.00 |
| 90734 |
|
30 |
24 |
$0.00 |
| 90671 |
|
30 |
28 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
31 |
$0.00 |
| 90620 |
|
72 |
68 |
$0.00 |
| 90716 |
|
152 |
145 |
$0.00 |
| 90694 |
|
58 |
43 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |