| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,552 |
15,413 |
$835K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,023 |
6,468 |
$248K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,401 |
2,325 |
$165K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,118 |
2,023 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,825 |
1,677 |
$111K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,790 |
7,453 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
825 |
789 |
$64K |
| 92552 |
|
2,331 |
2,265 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
327 |
$22K |
| 90686 |
|
3,035 |
2,773 |
$18K |
| 99050 |
|
1,393 |
1,321 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,993 |
1,775 |
$15K |
| 90697 |
|
388 |
345 |
$15K |
| 99173 |
|
3,718 |
3,517 |
$13K |
| 90677 |
|
149 |
149 |
$8K |
| 90671 |
|
42 |
37 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
817 |
643 |
$6K |
| 90651 |
|
324 |
306 |
$5K |
| 90674 |
|
571 |
495 |
$4K |
| 36416 |
|
4,932 |
4,660 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$3K |
| 90461 |
|
3,169 |
2,682 |
$3K |
| 90670 |
|
1,324 |
1,242 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,213 |
1,015 |
$2K |
| 90734 |
|
147 |
135 |
$2K |
| 90716 |
|
382 |
368 |
$2K |
| 0071A |
|
43 |
41 |
$2K |
| 81003 |
|
2,610 |
2,376 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
99 |
85 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
44 |
$1K |
| 0072A |
|
29 |
29 |
$1K |
| 3008F |
|
2,399 |
2,315 |
$1K |
| 90707 |
|
406 |
391 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
593 |
564 |
$958.77 |
| 99381 |
|
12 |
12 |
$937.81 |
| 90680 |
|
725 |
679 |
$658.43 |
| 90633 |
|
438 |
420 |
$512.93 |
| 90698 |
|
554 |
535 |
$503.21 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
227 |
218 |
$392.60 |
| 90715 |
|
69 |
67 |
$385.48 |
| 90744 |
|
276 |
263 |
$183.50 |
| A4617 |
Mouth piece |
100 |
85 |
$116.63 |
| 90700 |
|
14 |
14 |
$99.99 |
| 90696 |
|
74 |
69 |
$40.29 |
| 87081 |
|
15 |
15 |
$38.90 |
| 81001 |
|
33 |
33 |
$37.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
12 |
$36.82 |
| 90648 |
|
24 |
24 |
$35.91 |
| 99000 |
|
5,977 |
5,623 |
$10.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
99 |
85 |
$4.52 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
99 |
85 |
$0.77 |
| 91307 |
|
76 |
71 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90687 |
|
45 |
43 |
$0.00 |