| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,674 |
18,016 |
$2.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,276 |
15,782 |
$1.23M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,871 |
4,554 |
$638K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,821 |
15,990 |
$572K |
| 96160 |
|
23,423 |
14,321 |
$511K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,084 |
3,795 |
$474K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,923 |
2,659 |
$325K |
| 96127 |
|
7,170 |
6,387 |
$131K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,603 |
6,194 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,081 |
976 |
$123K |
| 99177 |
|
6,889 |
6,312 |
$119K |
| 99215 |
Prolong outpt/office vis |
563 |
492 |
$82K |
| 99051 |
|
7,355 |
6,657 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
300 |
271 |
$46K |
| 96161 |
|
2,591 |
2,175 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
405 |
379 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,693 |
3,435 |
$37K |
| 90834 |
Psychotherapy, 45 minutes with patient |
833 |
461 |
$36K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,809 |
4,574 |
$35K |
| 92551 |
|
6,127 |
5,428 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,718 |
1,306 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,693 |
1,262 |
$27K |
| 99401 |
|
642 |
568 |
$24K |
| 36416 |
|
7,139 |
6,156 |
$19K |
| 96152 |
|
427 |
268 |
$16K |
| 99188 |
|
657 |
624 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
236 |
227 |
$12K |
| 69210 |
|
398 |
380 |
$11K |
| 94760 |
|
6,271 |
5,558 |
$9K |
| 92587 |
|
209 |
204 |
$7K |
| 94150 |
|
456 |
409 |
$5K |
| 90677 |
|
40 |
40 |
$5K |
| 99070 |
|
1,216 |
1,088 |
$4K |
| 99402 |
|
59 |
55 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
30 |
$4K |
| 94664 |
|
375 |
344 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
135 |
127 |
$3K |
| 83655 |
|
230 |
217 |
$2K |
| 90686 |
|
6,120 |
5,656 |
$2K |
| 87807 |
|
175 |
163 |
$2K |
| 99173 |
|
294 |
273 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
421 |
393 |
$1K |
| 94060 |
|
42 |
35 |
$1K |
| 94010 |
|
53 |
50 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
136 |
114 |
$960.16 |
| 85018 |
|
6,510 |
5,933 |
$167.12 |
| 90716 |
|
371 |
348 |
$128.00 |
| 90715 |
|
27 |
27 |
$112.50 |
| 81002 |
|
1,006 |
843 |
$26.84 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
144 |
134 |
$6.38 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
45 |
43 |
$4.69 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
12 |
12 |
$2.16 |
| 99000 |
|
10,257 |
8,920 |
$0.00 |
| 90680 |
|
376 |
362 |
$0.00 |
| 90744 |
|
131 |
121 |
$0.00 |
| 90651 |
|
84 |
64 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
71 |
63 |
$0.00 |
| 90461 |
|
5,133 |
4,605 |
$0.00 |
| 90633 |
|
209 |
201 |
$0.00 |
| 90648 |
|
1,175 |
1,114 |
$0.00 |
| 90700 |
|
1,309 |
1,245 |
$0.00 |
| 99072 |
|
2,933 |
2,482 |
$0.00 |
| 90734 |
|
33 |
29 |
$0.00 |
| 90670 |
|
1,259 |
1,181 |
$0.00 |
| 90713 |
|
486 |
468 |
$0.00 |
| 90707 |
|
261 |
243 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
15 |
14 |
$0.00 |
| 90685 |
|
241 |
233 |
$0.00 |