| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,723 |
7,469 |
$356K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,222 |
3,858 |
$259K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,397 |
4,827 |
$142K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,937 |
1,784 |
$110K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,614 |
1,452 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,335 |
1,247 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,014 |
966 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,860 |
3,526 |
$30K |
| 97802 |
|
1,965 |
1,799 |
$20K |
| 90670 |
|
1,005 |
941 |
$17K |
| 92552 |
|
1,465 |
1,397 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,224 |
1,081 |
$14K |
| 81002 |
|
3,373 |
3,140 |
$8K |
| 92558 |
|
296 |
296 |
$4K |
| 90710 |
|
328 |
306 |
$3K |
| 90633 |
|
297 |
285 |
$3K |
| 36416 |
|
1,294 |
1,195 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
102 |
$1K |
| 90647 |
|
671 |
609 |
$1K |
| 90620 |
|
94 |
91 |
$987.55 |
| 90723 |
|
799 |
734 |
$979.34 |
| 90686 |
|
579 |
559 |
$938.54 |
| 90651 |
|
228 |
218 |
$576.21 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$452.16 |
| 90685 |
|
100 |
98 |
$363.53 |
| 90677 |
|
220 |
168 |
$313.79 |
| 90734 |
|
275 |
260 |
$300.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
18 |
$299.43 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$135.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$132.69 |
| 90681 |
|
199 |
188 |
$117.25 |
| 90715 |
|
75 |
75 |
$37.43 |
| 90696 |
|
27 |
26 |
$20.00 |
| 90700 |
|
14 |
14 |
$15.75 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
14 |
13 |
$0.72 |