| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,344 |
9,913 |
$568K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,558 |
6,185 |
$183K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,157 |
2,087 |
$156K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,024 |
1,970 |
$146K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,826 |
1,720 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,201 |
1,160 |
$96K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,929 |
3,770 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
705 |
613 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
694 |
662 |
$50K |
| 92587 |
|
3,246 |
2,934 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,659 |
1,488 |
$14K |
| 99381 |
|
149 |
148 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
858 |
804 |
$10K |
| 99174 |
|
1,965 |
1,863 |
$9K |
| 99383 |
|
51 |
51 |
$4K |
| 85018 |
|
3,406 |
3,165 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
301 |
231 |
$3K |
| 96160 |
|
747 |
689 |
$2K |
| 86328 |
|
535 |
452 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
97 |
$1K |
| 83655 |
|
114 |
102 |
$1K |
| 95115 |
|
120 |
111 |
$1K |
| 99173 |
|
1,677 |
1,592 |
$1K |
| 90461 |
|
1,182 |
845 |
$1K |
| 94060 |
|
12 |
12 |
$651.80 |
| 69210 |
|
23 |
13 |
$605.28 |
| 94200 |
|
26 |
25 |
$516.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$431.68 |
| 36415 |
Collection of venous blood by venipuncture |
158 |
128 |
$387.18 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
278 |
222 |
$244.83 |
| 81002 |
|
55 |
49 |
$128.47 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
153 |
132 |
$15.28 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
71 |
60 |
$8.04 |
| 90651 |
|
595 |
548 |
$0.00 |
| 90716 |
|
719 |
663 |
$0.00 |
| 90723 |
|
1,070 |
990 |
$0.00 |
| 90620 |
|
87 |
75 |
$0.00 |
| 90647 |
|
1,174 |
1,085 |
$0.00 |
| 90674 |
|
272 |
269 |
$0.00 |
| 90686 |
|
1,894 |
1,543 |
$0.00 |
| 90696 |
|
108 |
102 |
$0.00 |
| 36416 |
|
87 |
83 |
$0.00 |
| 90707 |
|
711 |
657 |
$0.00 |
| 90681 |
|
493 |
449 |
$0.00 |
| 90734 |
|
440 |
390 |
$0.00 |
| 90670 |
|
1,544 |
1,432 |
$0.00 |
| 90633 |
|
723 |
671 |
$0.00 |
| 90700 |
|
108 |
101 |
$0.00 |
| 90685 |
|
160 |
151 |
$0.00 |
| 90715 |
|
173 |
156 |
$0.00 |