| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,638 |
14,627 |
$689K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,587 |
1,512 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,083 |
3,600 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,138 |
1,057 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,533 |
1,427 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
917 |
852 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,078 |
1,041 |
$63K |
| 99050 |
|
2,797 |
2,489 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
437 |
425 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,294 |
3,487 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
198 |
178 |
$18K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,718 |
1,614 |
$13K |
| 99051 |
|
799 |
745 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
510 |
415 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
787 |
671 |
$7K |
| 90461 |
|
1,748 |
1,498 |
$6K |
| 92552 |
|
972 |
901 |
$3K |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
386 |
321 |
$1K |
| 99429 |
|
24 |
24 |
$66.96 |
| S8301 |
Infection control supplies, not otherwise specified |
42 |
40 |
$25.21 |
| 90686 |
|
1,517 |
1,417 |
$0.69 |
| 90740 |
|
86 |
82 |
$0.62 |
| 90677 |
|
229 |
207 |
$0.51 |
| 90670 |
|
808 |
791 |
$0.11 |
| 90651 |
|
54 |
54 |
$0.06 |
| 94664 |
|
360 |
308 |
$0.05 |
| 90648 |
|
443 |
436 |
$0.03 |
| 90680 |
|
602 |
572 |
$0.03 |
| 90633 |
|
648 |
622 |
$0.01 |
| 90710 |
|
329 |
317 |
$0.00 |
| 99173 |
|
1,134 |
1,032 |
$0.00 |
| 90700 |
|
84 |
83 |
$0.00 |
| 99072 |
|
12 |
12 |
$0.00 |
| 90698 |
|
298 |
288 |
$0.00 |
| 90723 |
|
43 |
43 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |