| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,995 |
6,821 |
$494K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,347 |
2,102 |
$210K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,276 |
4,031 |
$188K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,528 |
1,442 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
760 |
748 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
690 |
619 |
$59K |
| Q3014 |
Telehealth originating site facility fee |
2,299 |
2,115 |
$51K |
| 99383 |
|
212 |
211 |
$22K |
| 90461 |
|
731 |
623 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
248 |
213 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
196 |
$21K |
| 99381 |
|
128 |
119 |
$12K |
| 99070 |
|
984 |
905 |
$11K |
| 99401 |
|
1,380 |
1,220 |
$11K |
| 99382 |
|
97 |
96 |
$10K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
606 |
557 |
$8K |
| 99188 |
|
1,145 |
1,099 |
$7K |
| 99384 |
|
58 |
55 |
$6K |
| D1206 |
Topical application of fluoride varnish |
337 |
300 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
471 |
445 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
106 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
181 |
166 |
$1K |
| 99460 |
|
13 |
12 |
$1K |
| 90671 |
|
442 |
401 |
$685.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$588.95 |
| 36416 |
|
179 |
178 |
$550.35 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
33 |
$496.61 |
| 96127 |
|
86 |
85 |
$383.74 |
| 90473 |
|
18 |
17 |
$112.94 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
34 |
32 |
$7.88 |
| A7015 |
Aerosol mask, used with dme nebulizer |
31 |
29 |
$5.84 |
| 90677 |
|
70 |
69 |
$0.36 |
| 90651 |
|
170 |
150 |
$0.15 |
| 90686 |
|
466 |
454 |
$0.03 |
| 90621 |
|
12 |
12 |
$0.01 |
| 90710 |
|
534 |
493 |
$0.00 |
| 90670 |
|
1,063 |
1,059 |
$0.00 |
| 90633 |
|
793 |
744 |
$0.00 |
| 90700 |
|
143 |
140 |
$0.00 |
| 90687 |
|
101 |
101 |
$0.00 |
| 90734 |
|
54 |
54 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90672 |
|
19 |
19 |
$0.00 |
| 90715 |
|
18 |
17 |
$0.00 |
| 90744 |
|
1,006 |
965 |
$0.00 |
| 90698 |
|
1,293 |
1,253 |
$0.00 |
| 90680 |
|
1,049 |
1,017 |
$0.00 |
| 99000 |
|
149 |
147 |
$0.00 |
| 90696 |
|
100 |
73 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| 90656 |
|
246 |
206 |
$0.00 |
| 90697 |
|
19 |
16 |
$0.00 |