| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,453 |
7,849 |
$369K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,024 |
4,580 |
$268K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
1,074 |
794 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,379 |
2,608 |
$179K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,895 |
2,436 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,332 |
1,926 |
$138K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,800 |
1,501 |
$119K |
| 90686 |
|
3,640 |
3,153 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,886 |
3,478 |
$43K |
| 90670 |
|
1,566 |
1,240 |
$19K |
| 96160 |
|
7,891 |
6,446 |
$16K |
| 90723 |
|
1,124 |
946 |
$15K |
| 90647 |
|
1,185 |
939 |
$14K |
| 90680 |
|
858 |
747 |
$13K |
| 92551 |
|
2,003 |
1,692 |
$12K |
| 96127 |
|
2,687 |
2,167 |
$10K |
| 90651 |
|
485 |
403 |
$8K |
| 90633 |
|
486 |
402 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,784 |
1,310 |
$5K |
| 99173 |
|
3,716 |
3,145 |
$5K |
| 92583 |
|
192 |
169 |
$4K |
| 90656 |
|
161 |
159 |
$3K |
| 99215 |
Prolong outpt/office vis |
32 |
24 |
$2K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
28 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
53 |
$2K |
| 90734 |
|
133 |
109 |
$2K |
| 87081 |
|
1,234 |
909 |
$2K |
| 90671 |
|
85 |
84 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
47 |
$992.50 |
| 90677 |
|
12 |
12 |
$765.42 |
| 90672 |
|
34 |
31 |
$640.03 |
| 0071A |
|
12 |
12 |
$480.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
108 |
80 |
$373.62 |
| 90715 |
|
13 |
12 |
$264.84 |
| 90700 |
|
16 |
12 |
$242.77 |
| 99050 |
|
122 |
99 |
$120.00 |
| 81002 |
|
13 |
12 |
$13.26 |
| 36416 |
|
315 |
232 |
$4.09 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,178 |
6,825 |
$0.00 |
| 90461 |
|
3,285 |
2,698 |
$0.00 |
| 83655 |
|
228 |
183 |
$0.00 |
| 90681 |
|
30 |
25 |
$0.00 |
| 3008F |
|
593 |
474 |
$0.00 |
| 91307 |
|
18 |
12 |
$0.00 |