| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,227 |
22,288 |
$1.61M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,463 |
8,348 |
$849K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,052 |
5,665 |
$531K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,592 |
4,224 |
$443K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,792 |
4,554 |
$428K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,517 |
15,284 |
$294K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,349 |
3,135 |
$278K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,511 |
7,933 |
$173K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,911 |
11,390 |
$156K |
| D0190 |
|
8,419 |
8,058 |
$129K |
| D0145 |
Oral evaluation for a patient under three years of age |
3,893 |
3,762 |
$113K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,450 |
6,907 |
$75K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,324 |
4,693 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,920 |
1,785 |
$71K |
| 92552 |
|
4,857 |
4,652 |
$68K |
| 96127 |
|
5,482 |
4,811 |
$65K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,432 |
1,336 |
$39K |
| 99173 |
|
4,386 |
4,167 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,532 |
1,261 |
$36K |
| 97802 |
|
1,373 |
1,282 |
$34K |
| 99381 |
|
378 |
344 |
$32K |
| D1206 |
Topical application of fluoride varnish |
1,648 |
1,604 |
$26K |
| 90474 |
|
2,244 |
2,088 |
$23K |
| 90651 |
|
2,683 |
2,536 |
$23K |
| 94760 |
|
8,680 |
7,410 |
$18K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
341 |
274 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
167 |
166 |
$16K |
| 99000 |
|
6,659 |
5,990 |
$15K |
| 90734 |
|
2,168 |
2,041 |
$13K |
| 99401 |
|
297 |
285 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,831 |
2,654 |
$8K |
| 85018 |
|
3,259 |
3,078 |
$8K |
| 90473 |
|
1,015 |
674 |
$8K |
| 36416 |
|
4,961 |
4,392 |
$7K |
| 81002 |
|
1,886 |
1,747 |
$6K |
| 99382 |
|
54 |
52 |
$5K |
| 90716 |
|
2,009 |
1,886 |
$5K |
| 99383 |
|
44 |
40 |
$4K |
| 90480 |
|
69 |
69 |
$4K |
| 0071A |
|
70 |
66 |
$4K |
| 90707 |
|
1,999 |
1,886 |
$4K |
| 90670 |
|
2,756 |
2,666 |
$4K |
| 90671 |
|
394 |
373 |
$3K |
| 90686 |
|
5,347 |
5,052 |
$3K |
| 90715 |
|
1,300 |
1,234 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
248 |
217 |
$3K |
| 0001A |
|
42 |
42 |
$2K |
| 99384 |
|
15 |
15 |
$2K |
| 90700 |
|
2,019 |
1,899 |
$2K |
| 0002A |
|
41 |
40 |
$2K |
| 90633 |
|
2,023 |
1,927 |
$2K |
| 90713 |
|
1,069 |
1,006 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 0072A |
|
24 |
24 |
$1K |
| 90710 |
|
204 |
186 |
$924.00 |
| 90680 |
|
1,862 |
1,778 |
$863.57 |
| 92551 |
|
142 |
81 |
$763.98 |
| 90656 |
|
318 |
290 |
$432.67 |
| 90723 |
|
1,216 |
1,184 |
$383.32 |
| 94761 |
|
61 |
46 |
$265.97 |
| 90697 |
|
253 |
227 |
$232.00 |
| 90685 |
|
552 |
543 |
$201.44 |
| 94664 |
|
13 |
13 |
$159.48 |
| 90648 |
|
1,875 |
1,810 |
$159.19 |
| 90698 |
|
609 |
589 |
$85.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
212 |
197 |
$50.88 |
| 90744 |
|
28 |
27 |
$49.02 |
| 90619 |
|
20 |
16 |
$48.00 |
| 96160 |
|
60 |
57 |
$7.17 |
| 90658 |
|
171 |
164 |
$6.50 |
| 91321 |
|
46 |
46 |
$0.00 |
| 90672 |
|
265 |
249 |
$0.00 |
| 91300 |
|
83 |
80 |
$0.00 |
| 91307 |
|
94 |
90 |
$0.00 |
| 90660 |
|
1,164 |
921 |
$0.00 |
| 90674 |
|
57 |
57 |
$0.00 |