| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,146 |
40,934 |
$2.24M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,377 |
20,604 |
$600K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,103 |
5,981 |
$405K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,322 |
5,397 |
$370K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,886 |
4,095 |
$306K |
| 92550 |
|
19,828 |
17,045 |
$281K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,858 |
3,839 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,791 |
3,318 |
$244K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18,432 |
14,930 |
$212K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18,964 |
15,824 |
$204K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,468 |
1,191 |
$128K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,443 |
5,402 |
$97K |
| 92551 |
|
13,944 |
11,560 |
$92K |
| 99173 |
|
14,854 |
12,283 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
371 |
256 |
$16K |
| 90474 |
|
1,914 |
1,693 |
$15K |
| 0071A |
|
624 |
400 |
$15K |
| 0072A |
|
532 |
349 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,158 |
1,045 |
$11K |
| 0001A |
|
349 |
236 |
$8K |
| 0002A |
|
325 |
216 |
$8K |
| 85018 |
|
3,500 |
3,086 |
$7K |
| 0003A |
|
369 |
218 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,613 |
1,288 |
$5K |
| 91320 |
|
183 |
93 |
$5K |
| 0073A |
|
130 |
95 |
$3K |
| 90480 |
|
547 |
284 |
$3K |
| 0081A |
|
76 |
44 |
$2K |
| 0124A |
|
60 |
44 |
$1K |
| 0154A |
|
63 |
46 |
$1K |
| 91319 |
|
109 |
49 |
$533.60 |
| 0082A |
|
26 |
13 |
$404.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
213 |
189 |
$295.00 |
| 99401 |
|
18 |
18 |
$236.64 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
293 |
239 |
$103.12 |
| 81002 |
|
43 |
29 |
$66.04 |
| 87110 |
|
42 |
24 |
$38.98 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
111 |
87 |
$5.31 |
| 90658 |
|
4,211 |
2,686 |
$0.00 |
| 90633 |
|
1,539 |
1,305 |
$0.00 |
| 90649 |
|
1,569 |
1,338 |
$0.00 |
| 90700 |
|
1,342 |
1,157 |
$0.00 |
| 90710 |
|
95 |
70 |
$0.00 |
| 90670 |
|
2,776 |
2,400 |
$0.00 |
| 90621 |
|
223 |
127 |
$0.00 |
| 90734 |
|
952 |
823 |
$0.00 |
| 90713 |
|
484 |
433 |
$0.00 |
| 90671 |
|
252 |
179 |
$0.00 |
| 90707 |
|
1,271 |
1,127 |
$0.00 |
| 90685 |
|
1,326 |
1,290 |
$0.00 |
| 3511F |
|
43 |
41 |
$0.00 |
| 91300 |
|
1,191 |
764 |
$0.00 |
| 90715 |
|
570 |
474 |
$0.00 |
| 90661 |
|
112 |
102 |
$0.00 |
| 91312 |
|
75 |
44 |
$0.00 |
| 91308 |
|
126 |
72 |
$0.00 |
| 90623 |
|
17 |
14 |
$0.00 |
| 3008F |
|
59,247 |
44,364 |
$0.00 |
| 90723 |
|
348 |
343 |
$0.00 |
| 90680 |
|
1,996 |
1,746 |
$0.00 |
| 90647 |
|
978 |
943 |
$0.00 |
| 90716 |
|
1,259 |
1,129 |
$0.00 |
| 90619 |
|
303 |
196 |
$0.00 |
| 90688 |
|
102 |
85 |
$0.00 |
| 90698 |
|
1,190 |
1,057 |
$0.00 |
| 91307 |
|
1,333 |
832 |
$0.00 |
| 97802 |
|
990 |
917 |
$0.00 |
| 90686 |
|
3,554 |
3,388 |
$0.00 |
| 90657 |
|
733 |
450 |
$0.00 |
| 90744 |
|
252 |
225 |
$0.00 |
| 90697 |
|
228 |
161 |
$0.00 |
| 91315 |
|
77 |
46 |
$0.00 |