| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,225 |
19,127 |
$1.48M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,625 |
3,625 |
$333K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,157 |
3,157 |
$290K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,583 |
5,053 |
$254K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,460 |
2,457 |
$212K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,036 |
2,036 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,556 |
1,507 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,592 |
11,512 |
$139K |
| 92552 |
|
7,750 |
7,749 |
$113K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,517 |
3,470 |
$61K |
| 99188 |
|
4,211 |
4,208 |
$47K |
| 92567 |
|
3,013 |
2,627 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,423 |
4,365 |
$17K |
| 99401 |
|
1,831 |
1,831 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,196 |
618 |
$14K |
| 81002 |
|
8,321 |
8,295 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,253 |
11,247 |
$12K |
| 96127 |
|
2,337 |
2,337 |
$11K |
| 94664 |
|
1,320 |
1,278 |
$10K |
| 99173 |
|
7,765 |
7,763 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
994 |
938 |
$8K |
| 87070 |
|
443 |
427 |
$3K |
| 99441 |
|
73 |
71 |
$3K |
| 87184 |
|
442 |
426 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
23 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87 |
84 |
$2K |
| 96111 |
|
27 |
27 |
$943.50 |
| 90686 |
|
2,375 |
2,373 |
$367.02 |
| 86580 |
|
82 |
82 |
$333.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$163.02 |
| 90674 |
|
786 |
783 |
$141.91 |
| 90707 |
|
91 |
91 |
$47.07 |
| 90633 |
|
1,106 |
1,106 |
$41.37 |
| S9441 |
Asthma education, non-physician provider, per session |
75 |
75 |
$35.26 |
| 90461 |
|
3,376 |
3,375 |
$26.56 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$0.84 |
| 90619 |
|
211 |
211 |
$0.00 |
| 90696 |
|
85 |
85 |
$0.00 |
| 90697 |
|
313 |
313 |
$0.00 |
| 90680 |
|
1,324 |
1,323 |
$0.00 |
| 90647 |
|
1,194 |
1,194 |
$0.00 |
| 90651 |
|
503 |
503 |
$0.00 |
| 90716 |
|
128 |
128 |
$0.00 |
| 90723 |
|
898 |
898 |
$0.00 |
| 90620 |
|
43 |
43 |
$0.00 |
| 94760 |
|
126 |
116 |
$0.00 |
| 90688 |
|
137 |
137 |
$0.00 |
| 90698 |
|
54 |
54 |
$0.00 |
| 99000 |
|
31 |
31 |
$0.00 |
| 90685 |
|
557 |
557 |
$0.00 |
| 90670 |
|
1,451 |
1,451 |
$0.00 |
| 90700 |
|
155 |
155 |
$0.00 |
| 90734 |
|
113 |
113 |
$0.00 |
| 90621 |
|
38 |
38 |
$0.00 |
| 90671 |
|
699 |
699 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90710 |
|
196 |
196 |
$0.00 |
| 90661 |
|
226 |
226 |
$0.00 |
| 90687 |
|
26 |
26 |
$0.00 |