| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,132 |
20,378 |
$900K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,915 |
8,192 |
$277K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,264 |
3,979 |
$230K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,561 |
3,955 |
$218K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,682 |
2,473 |
$159K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,012 |
2,823 |
$155K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,563 |
12,698 |
$151K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,769 |
1,666 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,701 |
2,518 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,430 |
4,702 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
369 |
282 |
$4K |
| 90686 |
|
1,837 |
1,710 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
158 |
140 |
$2K |
| 90670 |
|
2,158 |
1,980 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
98 |
$1K |
| 90651 |
|
408 |
372 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
54 |
$856.74 |
| 90619 |
|
153 |
140 |
$632.24 |
| 81003 |
|
265 |
240 |
$501.88 |
| 92551 |
|
94 |
85 |
$460.64 |
| 90734 |
|
265 |
248 |
$438.74 |
| 90698 |
|
1,177 |
1,083 |
$387.25 |
| 90680 |
|
1,118 |
1,024 |
$372.70 |
| 99051 |
|
16 |
15 |
$301.52 |
| 90685 |
|
196 |
165 |
$270.85 |
| 90715 |
|
322 |
305 |
$216.97 |
| 90744 |
|
513 |
461 |
$185.15 |
| 99173 |
|
108 |
97 |
$175.85 |
| 90633 |
|
476 |
455 |
$165.15 |
| 90656 |
|
140 |
136 |
$68.14 |
| 90700 |
|
106 |
91 |
$20.00 |
| 90707 |
|
73 |
68 |
$10.00 |
| 90710 |
|
85 |
81 |
$10.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
70 |
64 |
$1.45 |
| 90677 |
|
131 |
115 |
$0.00 |
| 94760 |
|
269 |
243 |
$0.00 |
| 90696 |
|
77 |
73 |
$0.00 |
| 90697 |
|
91 |
82 |
$0.00 |
| 90716 |
|
59 |
54 |
$0.00 |
| 90461 |
|
1,481 |
1,258 |
$0.00 |
| 90648 |
|
38 |
37 |
$0.00 |