| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,397 |
18,258 |
$824K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,650 |
2,523 |
$248K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,509 |
2,451 |
$222K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,178 |
2,142 |
$183K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,879 |
1,702 |
$146K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,602 |
8,836 |
$136K |
| S9470 |
Nutritional counseling, dietitian visit |
4,496 |
4,302 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,268 |
5,699 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,879 |
1,764 |
$100K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,528 |
2,383 |
$71K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,820 |
2,772 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
163 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,170 |
1,126 |
$14K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,177 |
2,995 |
$13K |
| 97169 |
|
448 |
432 |
$11K |
| 90461 |
|
2,026 |
1,434 |
$9K |
| 87807 |
|
746 |
692 |
$8K |
| 99051 |
|
2,583 |
2,495 |
$8K |
| 96160 |
|
2,810 |
2,668 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
547 |
513 |
$6K |
| 90658 |
|
1,116 |
1,060 |
$5K |
| 90619 |
|
307 |
291 |
$4K |
| 90651 |
|
609 |
580 |
$4K |
| 90734 |
|
608 |
579 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
118 |
$3K |
| 90671 |
|
122 |
119 |
$3K |
| 90677 |
|
280 |
262 |
$3K |
| 90620 |
|
528 |
504 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
115 |
114 |
$2K |
| 0071A |
|
36 |
36 |
$1K |
| 99429 |
|
41 |
41 |
$1K |
| 81003 |
|
554 |
522 |
$1K |
| 0072A |
|
13 |
13 |
$568.00 |
| 90621 |
|
235 |
226 |
$525.00 |
| 90670 |
|
924 |
891 |
$450.00 |
| 0011A |
|
13 |
13 |
$390.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
311 |
286 |
$281.99 |
| 90686 |
|
216 |
214 |
$176.23 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
2,822 |
2,653 |
$138.40 |
| 90715 |
|
335 |
321 |
$64.58 |
| 90633 |
|
720 |
705 |
$39.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$2.38 |
| 90710 |
|
489 |
480 |
$0.00 |
| 90649 |
|
289 |
280 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
12 |
12 |
$0.00 |
| 90696 |
|
82 |
82 |
$0.00 |
| 90697 |
|
641 |
617 |
$0.00 |
| 91301 |
|
16 |
15 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
3,282 |
3,094 |
$0.00 |
| 90680 |
|
607 |
567 |
$0.00 |
| 90698 |
|
463 |
453 |
$0.00 |
| 90744 |
|
39 |
39 |
$0.00 |
| 91307 |
|
79 |
77 |
$0.00 |
| 90657 |
|
14 |
13 |
$0.00 |
| 97802 |
|
49 |
49 |
$0.00 |
| 90656 |
|
165 |
163 |
$0.00 |