| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,773 |
13,657 |
$746K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,681 |
3,432 |
$256K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,189 |
2,137 |
$254K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,865 |
1,815 |
$205K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,407 |
2,247 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
540 |
521 |
$50K |
| 92552 |
|
1,998 |
1,834 |
$34K |
| 97803 |
|
1,324 |
1,209 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,299 |
2,328 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
254 |
246 |
$24K |
| 99080 |
|
1,137 |
1,102 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
572 |
552 |
$20K |
| 99499 |
|
1,049 |
971 |
$19K |
| 90686 |
|
2,127 |
2,057 |
$14K |
| 96127 |
|
2,737 |
2,598 |
$11K |
| 99188 |
|
654 |
644 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
934 |
894 |
$8K |
| 90670 |
|
1,151 |
1,120 |
$8K |
| 90461 |
|
1,026 |
614 |
$7K |
| 90698 |
|
834 |
793 |
$7K |
| 90680 |
|
899 |
872 |
$7K |
| 99173 |
|
1,991 |
1,825 |
$5K |
| 97802 |
|
154 |
142 |
$5K |
| 90671 |
|
330 |
330 |
$4K |
| 90633 |
|
627 |
615 |
$4K |
| 90656 |
|
272 |
272 |
$4K |
| 90744 |
|
339 |
319 |
$3K |
| 81002 |
|
2,180 |
2,037 |
$3K |
| 90716 |
|
412 |
402 |
$2K |
| 90707 |
|
397 |
388 |
$2K |
| 0072A |
|
59 |
50 |
$2K |
| 0071A |
|
57 |
49 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
260 |
191 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
74 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 87428 |
|
17 |
13 |
$827.72 |
| 90697 |
|
333 |
332 |
$789.00 |
| 3008F |
|
1,565 |
1,450 |
$703.20 |
| 90651 |
|
114 |
107 |
$663.74 |
| 87430 |
|
145 |
136 |
$652.82 |
| 0002A |
|
14 |
13 |
$584.00 |
| 99072 |
|
9,458 |
8,559 |
$573.66 |
| 90734 |
|
45 |
43 |
$317.78 |
| 94760 |
|
460 |
433 |
$269.62 |
| 94664 |
|
14 |
14 |
$232.44 |
| 99174 |
|
176 |
152 |
$213.40 |
| 90480 |
|
13 |
13 |
$130.00 |
| 90696 |
|
12 |
12 |
$90.90 |
| 83655 |
|
797 |
770 |
$55.00 |
| 80061 |
Lipid panel |
42 |
37 |
$21.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$15.12 |
| 96161 |
|
27 |
26 |
$2.18 |
| 91307 |
|
29 |
27 |
$0.00 |
| 90619 |
|
34 |
30 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 90672 |
|
16 |
12 |
$0.00 |
| 99177 |
|
173 |
152 |
$0.00 |
| 99051 |
|
196 |
182 |
$0.00 |