| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,576 |
26,122 |
$1.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,640 |
15,246 |
$620K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,290 |
6,136 |
$476K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,212 |
1,206 |
$448K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,081 |
4,937 |
$419K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,262 |
5,151 |
$383K |
| 94010 |
|
15,048 |
6,865 |
$373K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
992 |
991 |
$367K |
| 87428 |
|
6,074 |
5,753 |
$361K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,656 |
12,168 |
$269K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,525 |
3,336 |
$250K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,368 |
12,740 |
$186K |
| 99429 |
|
6,162 |
5,998 |
$161K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,410 |
7,597 |
$140K |
| 99050 |
|
5,405 |
5,129 |
$80K |
| 99000 |
|
7,121 |
6,793 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,303 |
5,888 |
$57K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,839 |
1,855 |
$54K |
| 99381 |
|
811 |
792 |
$52K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
605 |
600 |
$51K |
| 95012 |
|
2,776 |
2,640 |
$43K |
| 95117 |
|
4,310 |
2,196 |
$37K |
| 90461 |
|
7,108 |
5,778 |
$31K |
| 99383 |
|
305 |
304 |
$26K |
| 69210 |
|
544 |
521 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
231 |
224 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
671 |
669 |
$17K |
| 99091 |
|
63 |
60 |
$12K |
| 96160 |
|
5,625 |
5,481 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,513 |
1,490 |
$11K |
| 83655 |
|
1,067 |
1,063 |
$11K |
| 99384 |
|
139 |
121 |
$11K |
| 94060 |
|
294 |
281 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
778 |
711 |
$10K |
| 90480 |
|
210 |
208 |
$6K |
| 99382 |
|
70 |
70 |
$6K |
| 99421 |
|
242 |
117 |
$4K |
| 97169 |
|
405 |
402 |
$4K |
| 0071A |
|
83 |
83 |
$3K |
| 81002 |
|
1,091 |
1,008 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
488 |
466 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
210 |
197 |
$2K |
| 90473 |
|
221 |
215 |
$2K |
| 80076 |
|
311 |
225 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$2K |
| 0001A |
|
24 |
24 |
$960.00 |
| 99354 |
|
41 |
40 |
$895.43 |
| 84030 |
|
189 |
187 |
$864.67 |
| 96380 |
|
32 |
32 |
$593.70 |
| 0072A |
|
13 |
13 |
$520.00 |
| 51701 |
|
12 |
12 |
$416.79 |
| 90677 |
|
767 |
766 |
$203.69 |
| 90620 |
|
139 |
137 |
$200.61 |
| 94760 |
|
123 |
116 |
$193.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$138.12 |
| 86580 |
|
12 |
12 |
$101.04 |
| 90474 |
|
12 |
12 |
$94.86 |
| 90651 |
|
2,133 |
2,075 |
$88.07 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
1,103 |
1,063 |
$51.86 |
| 90686 |
|
4,876 |
4,807 |
$27.63 |
| 96161 |
|
77 |
67 |
$22.77 |
| 36416 |
|
8,273 |
7,641 |
$10.27 |
| 90619 |
|
899 |
893 |
$5.10 |
| 91307 |
|
238 |
235 |
$1.16 |
| 91305 |
|
209 |
206 |
$0.88 |
| 90734 |
|
998 |
930 |
$0.82 |
| 90680 |
|
2,031 |
1,972 |
$0.54 |
| 90648 |
|
3,040 |
2,963 |
$0.54 |
| 90670 |
|
2,322 |
2,248 |
$0.54 |
| 90723 |
|
2,185 |
2,126 |
$0.53 |
| 91308 |
|
61 |
60 |
$0.40 |
| 90715 |
|
947 |
895 |
$0.24 |
| 91320 |
|
32 |
32 |
$0.20 |
| 90381 |
|
26 |
26 |
$0.11 |
| 91319 |
|
12 |
12 |
$0.08 |
| 90707 |
|
525 |
511 |
$0.06 |
| 90716 |
|
547 |
533 |
$0.05 |
| 90672 |
|
324 |
311 |
$0.05 |
| 90696 |
|
906 |
865 |
$0.00 |
| 90633 |
|
1,867 |
1,842 |
$0.00 |
| 90710 |
|
1,090 |
1,050 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
57 |
57 |
$0.00 |
| 90700 |
|
744 |
733 |
$0.00 |
| G9920 |
Screening performed and negative |
64 |
63 |
$0.00 |