| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,708 |
31,894 |
$2.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,475 |
29,016 |
$1.88M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,438 |
9,884 |
$850K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,159 |
8,607 |
$754K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,074 |
5,676 |
$470K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,228 |
13,137 |
$461K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,074 |
3,711 |
$340K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,199 |
3,692 |
$278K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
7,429 |
6,709 |
$201K |
| 99215 |
Prolong outpt/office vis |
1,381 |
1,195 |
$156K |
| D0145 |
Oral evaluation for a patient under three years of age |
3,390 |
3,280 |
$114K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,041 |
15,657 |
$114K |
| 99460 |
|
905 |
764 |
$67K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,069 |
877 |
$57K |
| 71045 |
Radiologic examination, chest; single view |
3,634 |
2,879 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,364 |
1,237 |
$43K |
| 92551 |
|
5,059 |
4,538 |
$37K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
791 |
604 |
$37K |
| 87634 |
|
588 |
556 |
$32K |
| E0570 |
Nebulizer, with compressor |
447 |
405 |
$31K |
| 90461 |
|
10,481 |
9,920 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,250 |
2,087 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,410 |
2,290 |
$29K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
1,714 |
1,534 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,661 |
1,592 |
$27K |
| 99381 |
|
293 |
251 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,873 |
1,460 |
$24K |
| 99401 |
|
1,128 |
929 |
$22K |
| 99462 |
|
619 |
363 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,423 |
682 |
$19K |
| 87631 |
|
155 |
152 |
$17K |
| 83655 |
|
1,485 |
1,421 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
109 |
$15K |
| 90677 |
|
256 |
250 |
$14K |
| D1206 |
Topical application of fluoride varnish |
539 |
528 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,400 |
1,341 |
$10K |
| 80053 |
Comprehensive metabolic panel |
954 |
890 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
681 |
589 |
$9K |
| 86318 |
|
618 |
586 |
$9K |
| 88720 |
|
2,014 |
1,448 |
$8K |
| 99173 |
|
4,217 |
3,764 |
$8K |
| 0071A |
|
196 |
169 |
$5K |
| 0072A |
|
161 |
155 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
44 |
$4K |
| 74018 |
|
172 |
156 |
$4K |
| 96127 |
|
1,353 |
1,302 |
$3K |
| 94664 |
|
310 |
242 |
$3K |
| 81003 |
|
1,126 |
976 |
$2K |
| 99441 |
|
79 |
67 |
$2K |
| 94060 |
|
56 |
45 |
$2K |
| 90670 |
|
6,725 |
6,466 |
$2K |
| 99383 |
|
15 |
15 |
$2K |
| 96160 |
|
901 |
854 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
123 |
105 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,062 |
933 |
$1K |
| 96132 |
|
28 |
12 |
$1K |
| J3250 |
Injection, trimethobenzamide hcl, up to 200 mg |
25 |
25 |
$962.94 |
| 99406 |
|
225 |
206 |
$723.76 |
| 94010 |
|
42 |
26 |
$680.28 |
| 0002A |
|
14 |
14 |
$509.36 |
| 0001A |
|
13 |
13 |
$466.31 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
285 |
261 |
$448.94 |
| 90716 |
|
889 |
838 |
$314.12 |
| 90647 |
|
4,963 |
4,772 |
$299.83 |
| 94760 |
|
1,061 |
893 |
$210.57 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
77 |
$186.66 |
| 90686 |
|
1,465 |
1,207 |
$110.33 |
| 90707 |
|
863 |
813 |
$90.50 |
| 96138 |
|
30 |
13 |
$60.12 |
| 85018 |
|
22 |
20 |
$56.98 |
| 36416 |
|
2,672 |
2,236 |
$53.02 |
| 94761 |
|
75 |
72 |
$35.40 |
| 96161 |
|
40 |
39 |
$33.72 |
| 99000 |
|
3,387 |
2,992 |
$17.10 |
| 90715 |
|
689 |
644 |
$1.48 |
| 90651 |
|
387 |
333 |
$0.71 |
| 91307 |
|
362 |
308 |
$0.06 |
| 90723 |
|
4,754 |
4,592 |
$0.01 |
| 99070 |
|
514 |
349 |
$0.00 |
| 3008F |
|
2,404 |
2,275 |
$0.00 |
| 90696 |
|
621 |
576 |
$0.00 |
| 90697 |
|
78 |
73 |
$0.00 |
| 90620 |
|
46 |
44 |
$0.00 |
| G9153 |
Mapcp demonstration - physician incentive pool |
41 |
40 |
$0.00 |
| 90633 |
|
1,726 |
1,612 |
$0.00 |
| 90681 |
|
2,549 |
2,470 |
$0.00 |
| 90734 |
|
694 |
626 |
$0.00 |
| 90700 |
|
679 |
648 |
$0.00 |
| 90710 |
|
627 |
590 |
$0.00 |
| 91300 |
|
41 |
34 |
$0.00 |