| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,139 |
11,060 |
$741K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,250 |
2,980 |
$255K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,504 |
2,342 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,466 |
2,171 |
$198K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,016 |
1,838 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,849 |
1,715 |
$144K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,842 |
3,541 |
$90K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,190 |
5,482 |
$90K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,556 |
2,380 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,353 |
3,724 |
$33K |
| 99050 |
|
1,329 |
1,185 |
$31K |
| 99381 |
|
357 |
327 |
$29K |
| D0145 |
Oral evaluation for a patient under three years of age |
842 |
792 |
$23K |
| 90474 |
|
1,047 |
964 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
531 |
410 |
$13K |
| D1206 |
Topical application of fluoride varnish |
841 |
792 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
982 |
702 |
$10K |
| 83655 |
|
591 |
570 |
$8K |
| 90734 |
|
887 |
813 |
$8K |
| 81002 |
|
6,936 |
6,240 |
$7K |
| 90621 |
|
444 |
421 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,646 |
1,475 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
446 |
384 |
$4K |
| 85018 |
|
3,312 |
3,046 |
$3K |
| 94664 |
|
292 |
249 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
29 |
$3K |
| 96160 |
|
642 |
581 |
$2K |
| 96127 |
|
451 |
361 |
$1K |
| 90715 |
|
555 |
502 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
360 |
308 |
$1K |
| 99383 |
|
18 |
15 |
$779.20 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
316 |
278 |
$583.17 |
| 92551 |
|
6,235 |
5,703 |
$493.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
53 |
$413.25 |
| A7015 |
Aerosol mask, used with dme nebulizer |
316 |
278 |
$410.72 |
| 99173 |
|
6,692 |
6,137 |
$357.00 |
| 90633 |
|
1,221 |
1,132 |
$297.90 |
| 90716 |
|
927 |
878 |
$278.04 |
| 81025 |
|
49 |
26 |
$179.40 |
| 90707 |
|
904 |
854 |
$78.72 |
| 36416 |
|
3,103 |
2,784 |
$0.00 |
| 90723 |
|
812 |
747 |
$0.00 |
| 84436 |
|
43 |
43 |
$0.00 |
| 90696 |
|
498 |
469 |
$0.00 |
| 90744 |
|
15 |
12 |
$0.00 |
| 90680 |
|
1,044 |
969 |
$0.00 |
| 90698 |
|
279 |
258 |
$0.00 |
| 90647 |
|
1,047 |
972 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
190 |
190 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
435 |
373 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
72 |
72 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
118 |
117 |
$0.00 |
| 90686 |
|
222 |
160 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
146 |
146 |
$0.00 |
| 87081 |
|
74 |
72 |
$0.00 |
| 90657 |
|
56 |
45 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
15 |
$0.00 |
| 90649 |
|
1,250 |
1,125 |
$0.00 |
| 90670 |
|
1,604 |
1,481 |
$0.00 |
| 80061 |
Lipid panel |
94 |
94 |
$0.00 |
| 90700 |
|
448 |
426 |
$0.00 |
| 99420 |
|
352 |
350 |
$0.00 |
| 90658 |
|
776 |
586 |
$0.00 |
| 86756 |
|
15 |
14 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 84481 |
|
14 |
14 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |