| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,600 |
13,076 |
$946K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,636 |
6,433 |
$275K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,398 |
2,357 |
$225K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,865 |
1,818 |
$173K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,381 |
1,350 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,967 |
3,741 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,338 |
1,241 |
$112K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,257 |
3,922 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,035 |
6,898 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
166 |
$16K |
| 99401 |
|
621 |
606 |
$10K |
| 86580 |
|
2,176 |
2,132 |
$10K |
| 99188 |
|
762 |
756 |
$9K |
| 92587 |
|
3,960 |
3,884 |
$9K |
| 90461 |
|
183 |
183 |
$7K |
| 96127 |
|
1,211 |
1,189 |
$6K |
| 92567 |
|
295 |
288 |
$3K |
| 99383 |
|
29 |
29 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
271 |
268 |
$2K |
| 90686 |
|
2,447 |
2,363 |
$886.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
105 |
105 |
$799.92 |
| 90670 |
|
650 |
640 |
$683.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$458.08 |
| 94667 |
|
12 |
12 |
$262.44 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$188.48 |
| 99173 |
|
692 |
677 |
$41.58 |
| 90648 |
|
496 |
486 |
$5.48 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
13 |
12 |
$1.55 |
| 90734 |
|
109 |
109 |
$0.00 |
| 90700 |
|
377 |
370 |
$0.00 |
| 90713 |
|
187 |
182 |
$0.00 |
| 90633 |
|
175 |
174 |
$0.00 |
| 90715 |
|
43 |
43 |
$0.00 |
| 90710 |
|
125 |
125 |
$0.00 |
| 90685 |
|
141 |
140 |
$0.00 |
| 90671 |
|
39 |
39 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 97802 |
|
8,824 |
7,499 |
$0.00 |
| 90651 |
|
353 |
353 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90680 |
|
58 |
57 |
$0.00 |
| 90619 |
|
99 |
97 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |