| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,437 |
6,923 |
$427K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,896 |
3,875 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,242 |
1,242 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
901 |
900 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,965 |
1,873 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
879 |
879 |
$71K |
| 92552 |
|
3,154 |
3,154 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
565 |
565 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
422 |
415 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,836 |
2,835 |
$32K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
724 |
709 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,913 |
1,877 |
$16K |
| 99188 |
|
1,164 |
1,164 |
$15K |
| 92567 |
|
584 |
517 |
$11K |
| 96111 |
|
78 |
78 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
533 |
340 |
$8K |
| 81002 |
|
3,325 |
3,310 |
$7K |
| 94664 |
|
562 |
538 |
$7K |
| 99173 |
|
2,567 |
2,562 |
$6K |
| 96127 |
|
923 |
923 |
$4K |
| 99401 |
|
659 |
659 |
$4K |
| 90461 |
|
54 |
54 |
$3K |
| 87070 |
|
301 |
288 |
$2K |
| 87184 |
|
301 |
288 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
92 |
91 |
$1K |
| D1206 |
Topical application of fluoride varnish |
42 |
42 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$624.72 |
| 86580 |
|
41 |
41 |
$330.14 |
| S9441 |
Asthma education, non-physician provider, per session |
13 |
13 |
$167.50 |
| 90674 |
|
132 |
132 |
$97.15 |
| 90686 |
|
227 |
227 |
$95.95 |
| 99441 |
|
14 |
14 |
$86.96 |
| 90661 |
|
92 |
92 |
$0.58 |
| 90619 |
|
12 |
12 |
$0.10 |
| 99429 |
|
22 |
12 |
$0.00 |
| 2016F |
|
14 |
12 |
$0.00 |
| 90651 |
|
50 |
50 |
$0.00 |
| 94760 |
|
30 |
28 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |