| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,472 |
29,089 |
$1.55M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,953 |
8,717 |
$685K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,906 |
8,272 |
$658K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20,505 |
19,862 |
$384K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,440 |
4,225 |
$318K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,714 |
3,621 |
$281K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,727 |
12,380 |
$203K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,765 |
1,728 |
$147K |
| 99381 |
|
486 |
467 |
$42K |
| 99383 |
|
371 |
367 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,689 |
4,568 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,477 |
2,387 |
$22K |
| 92551 |
|
4,372 |
4,233 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
318 |
301 |
$20K |
| 99382 |
|
241 |
229 |
$19K |
| 90474 |
|
1,820 |
1,765 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
980 |
909 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
733 |
705 |
$13K |
| 90461 |
|
566 |
520 |
$10K |
| 96127 |
|
2,681 |
2,616 |
$10K |
| 94760 |
|
8,209 |
7,676 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,237 |
1,191 |
$9K |
| 54150 |
|
80 |
78 |
$8K |
| 92550 |
|
432 |
413 |
$6K |
| 99188 |
|
496 |
466 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
51 |
$5K |
| 36416 |
|
2,994 |
2,904 |
$4K |
| 81002 |
|
3,400 |
3,273 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
132 |
$4K |
| 99384 |
|
28 |
28 |
$4K |
| 85018 |
|
2,212 |
2,164 |
$3K |
| 0071A |
|
56 |
55 |
$2K |
| 0072A |
|
51 |
50 |
$2K |
| 90671 |
|
1,910 |
1,873 |
$463.43 |
| 88720 |
|
94 |
84 |
$230.22 |
| 99070 |
|
68 |
68 |
$220.68 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
17 |
$211.86 |
| 84030 |
|
139 |
132 |
$202.21 |
| 81003 |
|
56 |
55 |
$42.61 |
| 64450 |
|
79 |
78 |
$12.79 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$5.84 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
30 |
29 |
$4.51 |
| 91307 |
|
144 |
138 |
$0.67 |
| 90619 |
|
251 |
246 |
$0.10 |
| 90697 |
|
350 |
339 |
$0.06 |
| 90651 |
|
336 |
326 |
$0.06 |
| 90620 |
|
12 |
12 |
$0.04 |
| 90633 |
|
2,239 |
2,185 |
$0.03 |
| 90716 |
|
202 |
197 |
$0.02 |
| 90680 |
|
2,379 |
2,324 |
$0.01 |
| 90698 |
|
2,564 |
2,493 |
$0.01 |
| 90670 |
|
3,871 |
3,745 |
$0.01 |
| 90707 |
|
198 |
194 |
$0.01 |
| 90715 |
|
189 |
184 |
$0.01 |
| 90744 |
|
740 |
713 |
$0.00 |
| 90696 |
|
179 |
171 |
$0.00 |
| 99000 |
|
2,552 |
2,463 |
$0.00 |
| 90686 |
|
2,056 |
1,954 |
$0.00 |
| 90723 |
|
296 |
296 |
$0.00 |
| 90656 |
|
377 |
377 |
$0.00 |
| 99173 |
|
643 |
634 |
$0.00 |
| 90700 |
|
158 |
151 |
$0.00 |
| 90681 |
|
169 |
165 |
$0.00 |
| 90648 |
|
791 |
773 |
$0.00 |
| 90734 |
|
293 |
285 |
$0.00 |
| 90710 |
|
292 |
283 |
$0.00 |