| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,596 |
7,259 |
$331K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,005 |
6,967 |
$236K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,451 |
2,432 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,403 |
2,395 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,677 |
1,675 |
$101K |
| 92587 |
|
4,557 |
4,543 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,689 |
1,667 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,151 |
1,139 |
$76K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,135 |
5,614 |
$50K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,142 |
2,085 |
$31K |
| 99215 |
Prolong outpt/office vis |
291 |
289 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
829 |
826 |
$16K |
| 92567 |
|
1,046 |
986 |
$13K |
| 83655 |
|
917 |
907 |
$11K |
| 99381 |
|
142 |
140 |
$9K |
| 99050 |
|
539 |
531 |
$9K |
| 96127 |
|
2,307 |
2,289 |
$9K |
| 85018 |
|
3,605 |
3,589 |
$8K |
| 94010 |
|
333 |
328 |
$7K |
| 81003 |
|
3,518 |
3,489 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
500 |
280 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
248 |
244 |
$7K |
| 80061 |
Lipid panel |
569 |
562 |
$6K |
| 96160 |
|
1,277 |
1,271 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
297 |
295 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
432 |
431 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
250 |
212 |
$3K |
| 69210 |
|
132 |
130 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
82 |
82 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
361 |
358 |
$795.13 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$770.52 |
| 90651 |
|
763 |
762 |
$624.42 |
| 90670 |
|
1,974 |
1,956 |
$585.79 |
| 90698 |
|
1,342 |
1,331 |
$515.79 |
| 69209 |
|
59 |
58 |
$393.42 |
| 99173 |
|
413 |
412 |
$393.12 |
| 90744 |
|
931 |
925 |
$350.02 |
| 90633 |
|
763 |
760 |
$340.61 |
| 90680 |
|
866 |
855 |
$310.03 |
| 90686 |
|
1,465 |
1,458 |
$220.31 |
| 90620 |
|
136 |
135 |
$189.76 |
| 90688 |
|
954 |
951 |
$178.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$168.30 |
| 90716 |
|
42 |
41 |
$161.59 |
| 90658 |
|
366 |
366 |
$130.92 |
| 99172 |
|
193 |
192 |
$73.09 |
| 90685 |
|
201 |
194 |
$70.01 |
| 90657 |
|
133 |
133 |
$70.00 |
| 86580 |
|
14 |
13 |
$68.32 |
| 90734 |
|
667 |
665 |
$55.76 |
| 90707 |
|
37 |
36 |
$51.50 |
| 90710 |
|
371 |
369 |
$40.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
233 |
231 |
$39.76 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
172 |
171 |
$38.70 |
| 90687 |
|
115 |
115 |
$29.99 |
| 90700 |
|
73 |
72 |
$25.75 |
| 90647 |
|
71 |
71 |
$20.00 |
| 90696 |
|
160 |
159 |
$10.00 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
361 |
358 |
$2.24 |
| 90715 |
|
172 |
172 |
$0.01 |