| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,165 |
5,801 |
$230K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,177 |
3,035 |
$160K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,137 |
8,088 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,942 |
2,941 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,663 |
2,663 |
$76K |
| 99215 |
Prolong outpt/office vis |
975 |
923 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,314 |
2,240 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,589 |
1,588 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,855 |
1,807 |
$8K |
| 87081 |
|
898 |
882 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
606 |
606 |
$4K |
| 99443 |
|
276 |
260 |
$2K |
| 92551 |
|
205 |
205 |
$1K |
| 99381 |
|
12 |
12 |
$356.28 |
| 83655 |
|
68 |
68 |
$286.99 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
32 |
$257.58 |
| 99442 |
|
228 |
215 |
$251.49 |
| 96160 |
|
760 |
760 |
$178.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$162.90 |
| 99441 |
|
30 |
30 |
$90.96 |
| 85018 |
|
79 |
79 |
$54.68 |
| 96161 |
|
163 |
163 |
$8.58 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$3.96 |
| 90619 |
|
188 |
188 |
$0.42 |
| 90670 |
|
930 |
929 |
$0.00 |
| 90633 |
|
238 |
238 |
$0.00 |
| 99173 |
|
146 |
146 |
$0.00 |
| 99072 |
|
314 |
298 |
$0.00 |
| 90734 |
|
90 |
90 |
$0.00 |
| 90715 |
|
54 |
54 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90698 |
|
870 |
870 |
$0.00 |
| 90651 |
|
69 |
69 |
$0.00 |
| 90686 |
|
1,964 |
1,964 |
$0.00 |
| 90680 |
|
397 |
397 |
$0.00 |
| 90744 |
|
114 |
114 |
$0.00 |
| A4616 |
Tubing (oxygen), per foot |
12 |
12 |
$0.00 |
| 36416 |
|
27 |
27 |
$0.00 |
| 90677 |
|
51 |
51 |
$0.00 |
| 90656 |
|
129 |
129 |
$0.00 |