| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,226 |
6,611 |
$657K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,749 |
4,405 |
$301K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,907 |
5,646 |
$159K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,291 |
1,287 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,076 |
1,073 |
$87K |
| 92552 |
|
3,125 |
3,114 |
$79K |
| 92567 |
|
4,953 |
4,861 |
$64K |
| 99215 |
Prolong outpt/office vis |
498 |
471 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
603 |
602 |
$53K |
| 94664 |
|
2,688 |
2,401 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
899 |
874 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,870 |
2,832 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,027 |
938 |
$21K |
| 90461 |
|
915 |
903 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
203 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,651 |
1,597 |
$15K |
| 99401 |
|
578 |
554 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
96 |
$13K |
| 86580 |
|
889 |
812 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,361 |
2,189 |
$4K |
| 81003 |
|
2,453 |
2,407 |
$4K |
| 99173 |
|
931 |
923 |
$3K |
| 87070 |
|
599 |
584 |
$3K |
| 87184 |
|
599 |
584 |
$2K |
| 99000 |
|
399 |
381 |
$2K |
| 90658 |
|
647 |
644 |
$2K |
| 99402 |
|
24 |
24 |
$1K |
| 90649 |
|
133 |
132 |
$1K |
| 94010 |
|
39 |
39 |
$1K |
| 90733 |
|
12 |
12 |
$912.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
68 |
68 |
$696.33 |
| 99429 |
|
52 |
52 |
$565.00 |
| 69210 |
|
12 |
12 |
$471.18 |
| 99442 |
|
22 |
19 |
$447.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
46 |
$446.01 |
| 90672 |
|
327 |
323 |
$373.70 |
| 97802 |
|
12 |
12 |
$245.77 |
| 99441 |
|
15 |
12 |
$199.87 |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
27 |
27 |
$81.55 |
| 90744 |
|
66 |
66 |
$47.76 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
51 |
51 |
$1.98 |
| 90716 |
|
20 |
20 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90700 |
|
97 |
97 |
$0.00 |
| 90713 |
|
41 |
41 |
$0.00 |
| 90707 |
|
20 |
20 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |