| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,771 |
4,089 |
$185K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
691 |
615 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,275 |
1,169 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
424 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,835 |
891 |
$26K |
| 92587 |
|
527 |
523 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,754 |
2,629 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
257 |
257 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
150 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
565 |
562 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
38 |
$3K |
| 87807 |
|
149 |
141 |
$2K |
| 99173 |
|
299 |
292 |
$935.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$619.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$476.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
17 |
$157.92 |
| 83655 |
|
12 |
12 |
$140.40 |
| 86318 |
|
12 |
12 |
$110.00 |
| 81002 |
|
26 |
25 |
$72.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$57.37 |
| 85018 |
|
12 |
12 |
$13.10 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
12 |
12 |
$2.42 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
16 |
16 |
$1.92 |