| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,180 |
4,033 |
$169K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,697 |
2,261 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,131 |
3,979 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,618 |
1,437 |
$94K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,131 |
2,764 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
612 |
554 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,064 |
1,645 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,455 |
924 |
$18K |
| 90670 |
|
2,052 |
1,725 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
166 |
148 |
$9K |
| 90680 |
|
1,182 |
977 |
$7K |
| 90698 |
|
1,047 |
859 |
$7K |
| 99381 |
|
151 |
99 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
702 |
671 |
$5K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
98 |
83 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
70 |
$4K |
| 87807 |
|
475 |
387 |
$4K |
| 90685 |
|
484 |
459 |
$4K |
| 90723 |
|
553 |
460 |
$4K |
| 90647 |
|
380 |
358 |
$3K |
| 99460 |
|
57 |
55 |
$3K |
| 90633 |
|
363 |
312 |
$2K |
| 90744 |
|
331 |
281 |
$2K |
| 96127 |
|
816 |
658 |
$2K |
| 90686 |
|
184 |
166 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
305 |
294 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
53 |
39 |
$2K |
| 96161 |
|
643 |
411 |
$1K |
| 90648 |
|
221 |
154 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
39 |
$1K |
| 99173 |
|
205 |
145 |
$659.68 |
| 90461 |
|
549 |
524 |
$632.34 |
| 90716 |
|
62 |
58 |
$416.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
40 |
$360.00 |
| 36416 |
|
180 |
136 |
$340.00 |
| 90707 |
|
51 |
47 |
$336.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
16 |
$302.00 |
| 90700 |
|
41 |
38 |
$264.00 |
| 92551 |
|
69 |
46 |
$215.75 |
| 92567 |
|
13 |
13 |
$168.00 |
| 90687 |
|
96 |
90 |
$152.00 |
| 94760 |
|
1,139 |
931 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
42 |
36 |
$0.00 |
| 99051 |
|
191 |
136 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
67 |
61 |
$0.00 |
| 84030 |
|
23 |
13 |
$0.00 |