| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,458 |
29,373 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,129 |
10,464 |
$859K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,880 |
5,050 |
$426K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,658 |
12,157 |
$419K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,630 |
4,523 |
$367K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,358 |
4,199 |
$338K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,778 |
3,686 |
$328K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,914 |
1,782 |
$55K |
| 99381 |
|
428 |
421 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,125 |
2,022 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
725 |
691 |
$17K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
720 |
666 |
$10K |
| 99460 |
|
140 |
133 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
603 |
539 |
$8K |
| 86580 |
|
850 |
794 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
73 |
66 |
$4K |
| 99173 |
|
4,571 |
4,234 |
$4K |
| 99383 |
|
40 |
40 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
242 |
148 |
$3K |
| 96127 |
|
364 |
361 |
$2K |
| 94760 |
|
1,229 |
1,004 |
$2K |
| 99188 |
|
95 |
92 |
$1K |
| 90473 |
|
59 |
58 |
$873.75 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
851 |
705 |
$850.61 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
34 |
$753.44 |
| 90670 |
|
3,360 |
2,973 |
$239.51 |
| 81002 |
|
58 |
56 |
$141.30 |
| 90698 |
|
3,306 |
2,944 |
$111.21 |
| 90672 |
|
209 |
179 |
$105.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
441 |
358 |
$47.47 |
| 90619 |
|
274 |
237 |
$15.43 |
| 90686 |
|
2,813 |
2,398 |
$10.43 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
228 |
212 |
$8.63 |
| 90680 |
|
1,940 |
1,710 |
$7.91 |
| 90710 |
|
1,417 |
1,236 |
$0.00 |
| 90715 |
|
537 |
469 |
$0.00 |
| 90633 |
|
1,179 |
1,040 |
$0.00 |
| 90685 |
|
286 |
234 |
$0.00 |
| 90734 |
|
755 |
652 |
$0.00 |
| 90651 |
|
1,167 |
1,043 |
$0.00 |
| 90744 |
|
1,565 |
1,405 |
$0.00 |
| 90620 |
|
250 |
230 |
$0.00 |
| 90696 |
|
260 |
229 |
$0.00 |
| 90656 |
|
43 |
24 |
$0.00 |