| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,993 |
4,297 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
797 |
775 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
568 |
568 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
416 |
415 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
443 |
443 |
$36K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
583 |
571 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
265 |
263 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
269 |
267 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
463 |
456 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
447 |
430 |
$9K |
| 85018 |
|
1,492 |
1,490 |
$4K |
| 90734 |
|
207 |
207 |
$4K |
| 90670 |
|
252 |
251 |
$4K |
| 90651 |
|
170 |
170 |
$4K |
| 81000 |
|
865 |
864 |
$3K |
| 90686 |
|
255 |
253 |
$3K |
| 99173 |
|
1,168 |
1,165 |
$3K |
| 90723 |
|
192 |
191 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 83655 |
|
145 |
145 |
$2K |
| 90633 |
|
140 |
140 |
$2K |
| 90648 |
|
138 |
137 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
219 |
215 |
$2K |
| 90715 |
|
106 |
106 |
$1K |
| 90647 |
|
76 |
76 |
$888.29 |
| 90696 |
|
48 |
48 |
$752.45 |
| 90680 |
|
32 |
31 |
$575.88 |
| 81003 |
|
201 |
193 |
$541.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$436.50 |
| 90710 |
|
17 |
17 |
$396.23 |
| 90700 |
|
25 |
25 |
$299.07 |
| 86756 |
|
24 |
23 |
$221.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$211.77 |
| 90688 |
|
17 |
17 |
$201.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
273 |
267 |
$132.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$127.05 |
| H0049 |
Alcohol and/or drug screening |
75 |
75 |
$106.50 |
| 99051 |
|
455 |
451 |
$97.50 |
| 36416 |
|
225 |
223 |
$97.09 |