| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,182 |
977 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
434 |
402 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
504 |
469 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
296 |
278 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
526 |
232 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
437 |
393 |
$6K |
| 90670 |
|
318 |
308 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
50 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
32 |
$4K |
| 96160 |
|
918 |
856 |
$3K |
| 90723 |
|
238 |
231 |
$3K |
| 90647 |
|
227 |
215 |
$2K |
| 90681 |
|
125 |
121 |
$1K |
| 83655 |
|
104 |
91 |
$1K |
| 87807 |
|
100 |
92 |
$1K |
| 90633 |
|
92 |
88 |
$1K |
| 85018 |
|
440 |
417 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
75 |
60 |
$1K |
| 81003 |
|
216 |
193 |
$498.74 |
| 90686 |
|
40 |
40 |
$468.78 |
| 90461 |
|
461 |
437 |
$441.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
605 |
570 |
$430.22 |
| 99173 |
|
188 |
176 |
$415.49 |
| 96127 |
|
90 |
82 |
$389.11 |
| 90696 |
|
16 |
14 |
$296.40 |
| 90685 |
|
27 |
27 |
$275.00 |
| 90700 |
|
13 |
13 |
$154.40 |
| 36416 |
|
454 |
421 |
$76.90 |
| 99070 |
|
38 |
34 |
$50.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
20 |
15 |
$17.31 |
| 94760 |
|
162 |
144 |
$0.00 |