| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,845 |
13,203 |
$894K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,047 |
3,733 |
$298K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,473 |
2,470 |
$175K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,608 |
8,510 |
$172K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,126 |
2,111 |
$152K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,940 |
1,937 |
$150K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,053 |
2,022 |
$130K |
| 92552 |
|
4,875 |
4,870 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,070 |
1,968 |
$74K |
| 90461 |
|
2,817 |
2,798 |
$60K |
| 86580 |
|
1,220 |
1,210 |
$7K |
| 81002 |
|
3,365 |
3,363 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
731 |
724 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
125 |
125 |
$3K |
| 92567 |
|
225 |
198 |
$3K |
| 99173 |
|
3,679 |
3,677 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
43 |
$478.18 |
| 96127 |
|
305 |
304 |
$211.02 |
| 90633 |
|
198 |
198 |
$107.13 |
| 90680 |
|
225 |
225 |
$107.10 |
| 90670 |
|
700 |
700 |
$107.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
71 |
$40.29 |
| 90700 |
|
213 |
213 |
$17.85 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
44 |
42 |
$1.71 |
| 94760 |
|
370 |
338 |
$1.48 |
| 90671 |
|
130 |
130 |
$1.05 |
| 90619 |
|
69 |
69 |
$0.24 |
| 90657 |
|
675 |
674 |
$0.05 |
| 90658 |
|
3,102 |
3,100 |
$0.03 |
| 90715 |
|
40 |
40 |
$0.02 |
| 90716 |
|
257 |
256 |
$0.00 |
| 90698 |
|
204 |
204 |
$0.00 |
| 90744 |
|
53 |
53 |
$0.00 |
| 90620 |
|
26 |
26 |
$0.00 |
| 90649 |
|
291 |
291 |
$0.00 |
| 90707 |
|
194 |
194 |
$0.00 |
| 90713 |
|
82 |
82 |
$0.00 |
| 90734 |
|
137 |
137 |
$0.00 |