| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,203 |
20,098 |
$1.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,092 |
3,683 |
$451K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,751 |
3,147 |
$448K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,401 |
2,927 |
$444K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,469 |
7,520 |
$397K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,122 |
1,907 |
$272K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,857 |
1,422 |
$164K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,028 |
10,545 |
$148K |
| 90461 |
|
3,493 |
2,689 |
$35K |
| 90670 |
|
890 |
746 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,838 |
1,834 |
$26K |
| 86580 |
|
10,408 |
8,198 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,120 |
5,583 |
$24K |
| 90651 |
|
396 |
394 |
$14K |
| 92567 |
|
3,721 |
2,369 |
$14K |
| 92081 |
|
6,233 |
4,214 |
$12K |
| 99188 |
|
2,374 |
2,219 |
$12K |
| 90677 |
|
40 |
40 |
$12K |
| 92551 |
|
8,728 |
6,483 |
$9K |
| 90686 |
|
6,729 |
5,063 |
$7K |
| 0071A |
|
124 |
116 |
$4K |
| 0072A |
|
123 |
114 |
$3K |
| 90619 |
|
78 |
78 |
$3K |
| 90656 |
|
587 |
586 |
$2K |
| 90680 |
|
334 |
331 |
$1K |
| 90716 |
|
253 |
241 |
$1K |
| 90633 |
|
220 |
220 |
$1K |
| 99381 |
|
14 |
14 |
$1K |
| 90674 |
|
166 |
163 |
$869.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
860 |
599 |
$770.73 |
| 99051 |
|
161 |
147 |
$731.39 |
| 90698 |
|
355 |
350 |
$416.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
86 |
79 |
$414.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$316.38 |
| A7015 |
Aerosol mask, used with dme nebulizer |
784 |
540 |
$257.43 |
| 90621 |
|
92 |
92 |
$242.42 |
| 96127 |
|
1,790 |
1,379 |
$235.00 |
| 90734 |
|
124 |
124 |
$197.63 |
| 90707 |
|
281 |
270 |
$177.39 |
| 90700 |
|
260 |
253 |
$91.78 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
92 |
84 |
$68.36 |
| 92552 |
|
1,560 |
1,540 |
$62.20 |
| 81002 |
|
617 |
607 |
$20.65 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
56 |
53 |
$2.10 |
| 90744 |
|
199 |
198 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
88 |
88 |
$0.00 |
| 91307 |
|
164 |
126 |
$0.00 |
| 99177 |
|
906 |
837 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90713 |
|
53 |
52 |
$0.00 |
| 99173 |
|
1,319 |
1,292 |
$0.00 |