| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,429 |
9,362 |
$704K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,026 |
7,939 |
$209K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,477 |
2,476 |
$207K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,229 |
2,229 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,933 |
1,852 |
$179K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,905 |
1,905 |
$174K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,977 |
1,955 |
$143K |
| D0190 |
|
1,872 |
1,868 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,293 |
1,266 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
367 |
365 |
$16K |
| 99188 |
|
1,754 |
1,750 |
$14K |
| 83655 |
|
1,214 |
1,212 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,747 |
1,657 |
$12K |
| 0001A |
|
159 |
159 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
463 |
449 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
379 |
376 |
$5K |
| 0072A |
|
136 |
135 |
$5K |
| 0071A |
|
123 |
123 |
$5K |
| 0002A |
|
121 |
121 |
$5K |
| 90677 |
|
175 |
175 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
402 |
402 |
$4K |
| 85018 |
|
1,528 |
1,526 |
$3K |
| 96127 |
|
1,025 |
1,025 |
$3K |
| 99401 |
|
2,456 |
2,456 |
$3K |
| 99381 |
|
25 |
24 |
$2K |
| 99174 |
|
824 |
824 |
$2K |
| 0124A |
|
41 |
41 |
$2K |
| 0003A |
|
29 |
29 |
$1K |
| 92558 |
|
942 |
942 |
$893.90 |
| 90480 |
|
15 |
15 |
$659.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
58 |
56 |
$603.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
65 |
$593.23 |
| 0073A |
|
15 |
15 |
$579.87 |
| 36415 |
Collection of venous blood by venipuncture |
267 |
266 |
$253.80 |
| 36416 |
|
715 |
687 |
$165.00 |
| 81002 |
|
46 |
42 |
$116.66 |
| 97802 |
|
2,627 |
2,627 |
$90.00 |
| 90686 |
|
1,351 |
1,349 |
$88.00 |
| 96160 |
|
19 |
19 |
$35.53 |
| 99000 |
|
602 |
598 |
$27.34 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
21 |
19 |
$10.69 |
| 91312 |
|
38 |
38 |
$0.00 |
| 90707 |
|
270 |
270 |
$0.00 |
| 90681 |
|
217 |
217 |
$0.00 |
| 90633 |
|
226 |
226 |
$0.00 |
| 90670 |
|
360 |
360 |
$0.00 |
| 90700 |
|
224 |
224 |
$0.00 |
| 99072 |
|
179 |
154 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
15 |
15 |
$0.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 90713 |
|
37 |
37 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
872 |
872 |
$0.00 |
| 90698 |
|
428 |
428 |
$0.00 |
| 90651 |
|
159 |
159 |
$0.00 |
| 90744 |
|
295 |
295 |
$0.00 |
| 90619 |
|
146 |
146 |
$0.00 |
| 90716 |
|
255 |
255 |
$0.00 |
| 94760 |
|
106 |
102 |
$0.00 |
| 91307 |
|
17 |
15 |
$0.00 |
| 90656 |
|
55 |
55 |
$0.00 |