| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,913 |
23,541 |
$861K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,000 |
5,906 |
$539K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,875 |
4,750 |
$462K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,175 |
4,106 |
$376K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,495 |
3,241 |
$345K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,762 |
2,573 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,713 |
9,417 |
$96K |
| 99381 |
|
280 |
271 |
$23K |
| 99383 |
|
182 |
178 |
$19K |
| 99384 |
|
106 |
103 |
$11K |
| 90670 |
|
2,874 |
2,789 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
54 |
$4K |
| 90715 |
|
1,006 |
982 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
405 |
370 |
$2K |
| 99382 |
|
17 |
17 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
196 |
$675.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$621.83 |
| 69210 |
|
32 |
30 |
$519.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
69 |
$507.20 |
| 90658 |
|
513 |
487 |
$277.61 |
| 97802 |
|
15,587 |
15,038 |
$217.31 |
| 90710 |
|
1,665 |
1,605 |
$144.06 |
| 90696 |
|
892 |
857 |
$144.06 |
| 90723 |
|
1,924 |
1,882 |
$132.77 |
| 90648 |
|
2,560 |
2,493 |
$24.01 |
| 90700 |
|
628 |
587 |
$24.01 |
| 90680 |
|
1,120 |
1,095 |
$24.01 |
| 90734 |
|
1,760 |
1,711 |
$20.00 |
| 81002 |
|
12 |
12 |
$10.45 |
| 90656 |
|
12 |
12 |
$10.00 |
| 90649 |
|
867 |
733 |
$0.00 |
| 90633 |
|
1,902 |
1,833 |
$0.00 |
| 90681 |
|
144 |
142 |
$0.00 |
| 90473 |
|
15 |
15 |
$0.00 |
| 90651 |
|
518 |
503 |
$0.00 |
| 90620 |
|
172 |
169 |
$0.00 |
| 90697 |
|
61 |
59 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
25 |
24 |
$0.00 |
| 90657 |
|
32 |
30 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.00 |