| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,157 |
6,665 |
$534K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,320 |
2,319 |
$212K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,031 |
6,001 |
$199K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,557 |
1,556 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,317 |
1,294 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,538 |
1,537 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
830 |
823 |
$74K |
| 92551 |
|
4,442 |
4,438 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
134 |
$7K |
| 90461 |
|
1,178 |
1,177 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
813 |
806 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
102 |
$3K |
| 0002A |
|
57 |
57 |
$2K |
| 0001A |
|
48 |
48 |
$2K |
| 0124A |
|
42 |
41 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
62 |
$1K |
| 83655 |
|
99 |
99 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
76 |
74 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$711.03 |
| 90480 |
|
15 |
15 |
$584.56 |
| 36415 |
Collection of venous blood by venipuncture |
1,533 |
1,464 |
$550.45 |
| 96127 |
|
92 |
92 |
$538.30 |
| 99173 |
|
3,371 |
3,367 |
$418.09 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
87 |
86 |
$74.62 |
| 90686 |
|
2,571 |
2,569 |
$71.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
78 |
$62.38 |
| A7015 |
Aerosol mask, used with dme nebulizer |
62 |
61 |
$59.76 |
| A4616 |
Tubing (oxygen), per foot |
79 |
74 |
$4.78 |
| 90633 |
|
294 |
294 |
$0.00 |
| 90685 |
|
99 |
99 |
$0.00 |
| 90670 |
|
568 |
567 |
$0.00 |
| 90734 |
|
124 |
124 |
$0.00 |
| 90710 |
|
149 |
148 |
$0.00 |
| 91300 |
|
108 |
87 |
$0.00 |
| 90621 |
|
50 |
50 |
$0.00 |
| 91312 |
|
27 |
26 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90698 |
|
492 |
492 |
$0.00 |
| 90651 |
|
419 |
419 |
$0.00 |
| 90680 |
|
205 |
205 |
$0.00 |
| 90744 |
|
55 |
54 |
$0.00 |
| 36416 |
|
39 |
38 |
$0.00 |
| 90619 |
|
42 |
42 |
$0.00 |
| 90656 |
|
189 |
189 |
$0.00 |