| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,319 |
25,693 |
$1.43M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,476 |
24,793 |
$1.02M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,280 |
8,846 |
$681K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,897 |
8,590 |
$664K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,322 |
7,169 |
$548K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,079 |
5,786 |
$448K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,614 |
3,551 |
$300K |
| 99177 |
|
12,965 |
12,475 |
$271K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,772 |
4,565 |
$143K |
| 99381 |
|
603 |
601 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,022 |
3,794 |
$53K |
| 96160 |
|
15,980 |
15,440 |
$48K |
| 92588 |
|
2,065 |
1,886 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,258 |
1,193 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
789 |
761 |
$21K |
| 83655 |
|
2,468 |
2,296 |
$21K |
| 90461 |
|
1,126 |
1,102 |
$17K |
| 99188 |
|
1,359 |
1,295 |
$16K |
| 99383 |
|
95 |
90 |
$8K |
| 96161 |
|
2,469 |
2,426 |
$7K |
| 99460 |
|
90 |
90 |
$6K |
| 85018 |
|
3,242 |
3,031 |
$6K |
| 0072A |
|
65 |
65 |
$5K |
| 0071A |
|
70 |
68 |
$5K |
| 69210 |
|
123 |
92 |
$4K |
| 99463 |
|
38 |
38 |
$3K |
| 90671 |
|
911 |
822 |
$3K |
| 96127 |
|
554 |
552 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
45 |
45 |
$2K |
| 96380 |
|
89 |
88 |
$1K |
| 0081A |
|
16 |
16 |
$1K |
| 81002 |
|
446 |
409 |
$1K |
| 17110 |
|
14 |
14 |
$1K |
| 82465 |
|
487 |
464 |
$1K |
| 0051A |
|
19 |
13 |
$557.34 |
| 99421 |
|
37 |
34 |
$459.35 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
27 |
$430.45 |
| 36416 |
|
3,460 |
3,045 |
$87.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
102 |
98 |
$86.76 |
| 90648 |
|
6,902 |
6,456 |
$83.71 |
| 90723 |
|
5,150 |
4,821 |
$83.62 |
| 90680 |
|
4,354 |
4,081 |
$58.77 |
| 91305 |
|
12 |
12 |
$47.42 |
| 90686 |
|
9,184 |
8,213 |
$28.25 |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
27 |
27 |
$27.60 |
| 90670 |
|
5,501 |
5,030 |
$23.80 |
| A7015 |
Aerosol mask, used with dme nebulizer |
27 |
27 |
$17.88 |
| 90633 |
|
3,033 |
2,694 |
$16.94 |
| 90707 |
|
3,321 |
2,886 |
$11.86 |
| 90716 |
|
3,204 |
2,768 |
$11.61 |
| 90651 |
|
1,727 |
1,598 |
$6.76 |
| 90672 |
|
27 |
25 |
$6.76 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
27 |
27 |
$3.71 |
| 90696 |
|
965 |
873 |
$0.00 |
| 90620 |
|
690 |
669 |
$0.00 |
| 90656 |
|
16 |
15 |
$0.00 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
160 |
151 |
$0.00 |
| 90734 |
|
1,120 |
1,047 |
$0.00 |
| 90700 |
|
798 |
732 |
$0.00 |
| 90715 |
|
370 |
349 |
$0.00 |
| 90685 |
|
209 |
197 |
$0.00 |
| 99072 |
|
43 |
32 |
$0.00 |