| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,294 |
2,103 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,323 |
1,233 |
$119K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,695 |
1,678 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
371 |
371 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
229 |
229 |
$21K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
839 |
788 |
$14K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,524 |
1,520 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
174 |
157 |
$13K |
| 96127 |
|
1,231 |
1,207 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,537 |
1,433 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
965 |
906 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
128 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
589 |
587 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
258 |
246 |
$7K |
| A4258 |
Spring-powered device for lancet, each |
1,520 |
1,416 |
$6K |
| 36416 |
|
597 |
561 |
$6K |
| 87081 |
|
778 |
745 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
365 |
361 |
$4K |
| 92550 |
|
170 |
158 |
$3K |
| 94760 |
|
969 |
885 |
$2K |
| 87070 |
|
98 |
94 |
$2K |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
894 |
838 |
$1K |
| 92552 |
|
64 |
64 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$412.20 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
235 |
220 |
$327.39 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
500 |
486 |
$189.80 |