| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
414 |
368 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
140 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
94 |
91 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
59 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
13 |
$1K |
| 90686 |
|
148 |
147 |
$82.46 |
| 95076 |
|
12 |
12 |
$81.67 |
| 86580 |
|
192 |
187 |
$5.28 |
| 92567 |
|
211 |
196 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
214 |
207 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
163 |
161 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
61 |
58 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
186 |
184 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
159 |
153 |
$0.00 |
| 90620 |
|
46 |
44 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
154 |
140 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
141 |
138 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
76 |
66 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
65 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
69 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
316 |
291 |
$0.00 |
| 90685 |
|
33 |
32 |
$0.00 |
| 90649 |
|
26 |
26 |
$0.00 |
| 90670 |
|
40 |
38 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
89 |
$0.00 |
| 69210 |
|
108 |
102 |
$0.00 |
| 90461 |
|
54 |
42 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$0.00 |
| 81003 |
|
159 |
153 |
$0.00 |
| 90700 |
|
54 |
52 |
$0.00 |
| 90713 |
|
45 |
43 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |