| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,294 |
1,208 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
466 |
443 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
698 |
671 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
513 |
504 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
197 |
193 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
129 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
317 |
312 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
89 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
74 |
$8K |
| 87428 |
|
110 |
106 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
366 |
364 |
$5K |
| 99188 |
|
137 |
136 |
$2K |
| 87807 |
|
95 |
89 |
$1K |
| 96160 |
|
241 |
231 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
62 |
$1K |
| 80061 |
Lipid panel |
79 |
78 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
62 |
61 |
$779.34 |
| 99401 |
|
182 |
175 |
$765.21 |
| 96127 |
|
151 |
150 |
$700.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
17 |
$307.73 |
| 99050 |
|
28 |
28 |
$300.00 |
| 94760 |
|
42 |
39 |
$260.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$246.27 |
| 96161 |
|
61 |
59 |
$193.07 |
| 85018 |
|
59 |
59 |
$170.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$146.40 |
| 81003 |
|
17 |
15 |
$29.80 |
| 90686 |
|
265 |
265 |
$0.01 |
| 36416 |
|
182 |
181 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 99174 |
|
26 |
26 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |