| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,872 |
15,375 |
$1.01M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,536 |
5,639 |
$500K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,637 |
3,967 |
$341K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,225 |
2,774 |
$249K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,174 |
6,247 |
$146K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,670 |
8,327 |
$99K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,899 |
10,562 |
$76K |
| 99381 |
|
872 |
764 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
815 |
711 |
$63K |
| 17250 |
|
894 |
701 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,232 |
1,640 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,915 |
2,336 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,821 |
2,061 |
$30K |
| 92567 |
|
3,071 |
2,395 |
$28K |
| 96161 |
|
4,403 |
3,887 |
$26K |
| 92551 |
|
2,646 |
2,272 |
$21K |
| D0145 |
Oral evaluation for a patient under three years of age |
691 |
586 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
174 |
$17K |
| 99462 |
|
214 |
184 |
$14K |
| 99460 |
|
166 |
148 |
$13K |
| D1206 |
Topical application of fluoride varnish |
666 |
569 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
820 |
416 |
$10K |
| 90670 |
|
5,174 |
4,553 |
$9K |
| 90473 |
|
718 |
628 |
$8K |
| 99241 |
|
248 |
214 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
480 |
398 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
136 |
$5K |
| 99401 |
|
518 |
437 |
$5K |
| 99173 |
|
1,886 |
1,619 |
$5K |
| 90707 |
|
1,481 |
1,247 |
$4K |
| 90716 |
|
1,480 |
1,239 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
542 |
470 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,164 |
2,474 |
$4K |
| 0001A |
|
141 |
133 |
$3K |
| 0002A |
|
127 |
124 |
$3K |
| 90647 |
|
2,149 |
1,941 |
$3K |
| 0003A |
|
84 |
80 |
$3K |
| 90474 |
|
305 |
291 |
$3K |
| 90686 |
|
544 |
492 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99464 |
|
13 |
13 |
$951.76 |
| 90688 |
|
358 |
324 |
$874.92 |
| 96900 |
|
45 |
39 |
$532.66 |
| 81002 |
|
166 |
143 |
$490.34 |
| 0111A |
|
15 |
15 |
$476.98 |
| 96160 |
|
245 |
213 |
$463.68 |
| 90651 |
|
152 |
129 |
$391.70 |
| 90633 |
|
1,497 |
1,253 |
$216.00 |
| 82962 |
|
103 |
75 |
$214.30 |
| A7015 |
Aerosol mask, used with dme nebulizer |
420 |
341 |
$207.87 |
| 85014 |
|
204 |
165 |
$183.07 |
| 85018 |
|
204 |
165 |
$183.07 |
| 90685 |
|
204 |
183 |
$115.80 |
| 82948 |
|
125 |
92 |
$96.81 |
| 90715 |
|
32 |
29 |
$57.60 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
15 |
$54.00 |
| 90698 |
|
1,149 |
1,008 |
$40.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
50 |
45 |
$30.36 |
| 90696 |
|
217 |
183 |
$28.20 |
| 90680 |
|
3,537 |
3,162 |
$24.01 |
| 90723 |
|
3,184 |
2,833 |
$24.00 |
| 36416 |
|
12,618 |
10,430 |
$18.18 |
| 94760 |
|
80 |
67 |
$14.60 |
| 90734 |
|
50 |
44 |
$12.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
43 |
27 |
$4.30 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
41 |
29 |
$0.20 |
| 92558 |
|
401 |
319 |
$0.00 |
| 1005F |
|
43 |
41 |
$0.00 |
| 99174 |
|
488 |
415 |
$0.00 |
| 99000 |
|
391 |
309 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
59 |
55 |
$0.00 |
| 90744 |
|
101 |
98 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
107 |
94 |
$0.00 |