| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,569 |
22,503 |
$1.36M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,615 |
4,582 |
$398K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,509 |
11,370 |
$342K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,519 |
3,488 |
$274K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,509 |
8,133 |
$257K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,168 |
2,154 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,668 |
1,640 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,590 |
1,562 |
$122K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
779 |
776 |
$72K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,203 |
2,126 |
$30K |
| 92567 |
|
1,717 |
1,565 |
$22K |
| 85014 |
|
7,084 |
7,036 |
$17K |
| 85018 |
|
7,080 |
7,032 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,056 |
1,052 |
$14K |
| 86580 |
|
1,467 |
1,439 |
$9K |
| 81002 |
|
2,226 |
2,178 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
202 |
199 |
$5K |
| 96160 |
|
1,129 |
1,095 |
$2K |
| 90480 |
|
60 |
60 |
$1K |
| 90686 |
|
5,147 |
4,865 |
$1K |
| 96127 |
|
121 |
121 |
$568.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$442.73 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
15 |
$392.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$344.46 |
| 90656 |
|
259 |
164 |
$308.55 |
| 99188 |
|
25 |
25 |
$267.28 |
| 91321 |
|
35 |
30 |
$250.11 |
| 94664 |
|
15 |
14 |
$220.76 |
| 91322 |
|
36 |
33 |
$154.05 |
| 90651 |
|
1,006 |
952 |
$46.29 |
| 90688 |
|
385 |
355 |
$16.43 |
| 90619 |
|
124 |
121 |
$15.43 |
| 90734 |
|
770 |
733 |
$15.43 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
14 |
$1.30 |
| 90620 |
|
1,209 |
1,147 |
$0.00 |
| 90723 |
|
294 |
280 |
$0.00 |
| 90680 |
|
125 |
119 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90648 |
|
620 |
582 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90670 |
|
673 |
642 |
$0.00 |
| 90671 |
|
101 |
91 |
$0.00 |
| 90685 |
|
36 |
36 |
$0.00 |
| 90633 |
|
132 |
124 |
$0.00 |
| 90715 |
|
74 |
69 |
$0.00 |