| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,685 |
14,044 |
$701K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,041 |
6,076 |
$438K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,276 |
2,169 |
$227K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,140 |
2,051 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,706 |
1,609 |
$160K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,650 |
1,577 |
$157K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,195 |
5,839 |
$91K |
| 97803 |
|
4,161 |
3,952 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
110 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,356 |
1,260 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
469 |
429 |
$4K |
| 99383 |
|
12 |
12 |
$1K |
| 90680 |
|
499 |
476 |
$900.00 |
| 90633 |
|
517 |
503 |
$745.30 |
| 90710 |
|
32 |
29 |
$744.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
29 |
$698.76 |
| 90686 |
|
371 |
337 |
$595.66 |
| 99173 |
|
4,791 |
4,400 |
$489.41 |
| 90651 |
|
441 |
423 |
$320.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
37 |
$231.79 |
| 81002 |
|
156 |
128 |
$161.95 |
| 90620 |
|
105 |
96 |
$152.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
35 |
$141.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$118.50 |
| 90656 |
|
56 |
55 |
$50.00 |
| 90619 |
|
177 |
164 |
$50.00 |
| 90670 |
|
698 |
654 |
$48.02 |
| 97802 |
|
181 |
175 |
$32.56 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,661 |
1,563 |
$27.08 |
| 90648 |
|
207 |
188 |
$27.00 |
| 92551 |
|
95 |
78 |
$13.92 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,809 |
2,578 |
$0.00 |
| 90716 |
|
55 |
55 |
$0.00 |
| 99000 |
|
460 |
371 |
$0.00 |
| 90723 |
|
105 |
97 |
$0.00 |
| 90697 |
|
273 |
262 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90696 |
|
30 |
27 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
14 |
$0.00 |
| 90715 |
|
71 |
61 |
$0.00 |
| 90671 |
|
297 |
277 |
$0.00 |
| 90461 |
|
71 |
43 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |