| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,110 |
13,990 |
$759K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,742 |
5,612 |
$411K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,550 |
5,773 |
$213K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,439 |
6,334 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,698 |
1,692 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,326 |
1,324 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,807 |
3,719 |
$67K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,834 |
1,344 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
867 |
843 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
796 |
789 |
$46K |
| 92551 |
|
3,307 |
3,280 |
$33K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,801 |
2,316 |
$29K |
| 94664 |
|
2,725 |
2,243 |
$24K |
| 90461 |
|
1,346 |
1,323 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,319 |
1,284 |
$18K |
| 99401 |
|
735 |
718 |
$13K |
| 90656 |
|
1,506 |
1,477 |
$10K |
| 90677 |
|
35 |
34 |
$7K |
| 86580 |
|
736 |
730 |
$3K |
| 90671 |
|
18 |
13 |
$3K |
| 90651 |
|
68 |
66 |
$3K |
| 99173 |
|
1,491 |
1,479 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| 99215 |
Prolong outpt/office vis |
33 |
28 |
$3K |
| 96127 |
|
658 |
650 |
$2K |
| 90716 |
|
107 |
103 |
$2K |
| 90655 |
|
401 |
395 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
70 |
$736.99 |
| 90734 |
|
12 |
12 |
$702.18 |
| 90660 |
|
102 |
102 |
$697.62 |
| 90670 |
|
122 |
118 |
$427.68 |
| 90700 |
|
74 |
71 |
$263.28 |
| 90713 |
|
12 |
12 |
$226.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$198.18 |
| 90633 |
|
76 |
73 |
$183.85 |
| 96160 |
|
108 |
106 |
$177.91 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
175 |
141 |
$147.66 |
| 90648 |
|
39 |
36 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90698 |
|
41 |
40 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |