| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,349 |
21,900 |
$1.51M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,268 |
6,169 |
$541K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,891 |
5,583 |
$482K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,953 |
4,170 |
$391K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
30,833 |
23,757 |
$323K |
| 96156 |
|
22,838 |
18,585 |
$290K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,169 |
15,381 |
$289K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,265 |
3,316 |
$273K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,629 |
6,301 |
$209K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,935 |
7,600 |
$144K |
| 99383 |
|
860 |
708 |
$67K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,134 |
929 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25,330 |
20,419 |
$50K |
| 99381 |
|
679 |
533 |
$44K |
| 99058 |
|
3,159 |
2,483 |
$44K |
| 94760 |
|
25,943 |
20,967 |
$36K |
| 99382 |
|
411 |
325 |
$29K |
| 99384 |
|
292 |
244 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
304 |
236 |
$17K |
| 96160 |
|
5,803 |
4,440 |
$12K |
| 90620 |
|
171 |
144 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
553 |
440 |
$7K |
| 90649 |
|
2,146 |
1,730 |
$7K |
| 90686 |
|
3,790 |
3,223 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
608 |
477 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
769 |
663 |
$6K |
| 90671 |
|
807 |
748 |
$5K |
| 99050 |
|
400 |
337 |
$4K |
| 96127 |
|
940 |
768 |
$3K |
| 0071A |
|
101 |
76 |
$3K |
| 0072A |
|
64 |
56 |
$2K |
| 0002A |
|
48 |
48 |
$2K |
| 90710 |
|
1,567 |
1,228 |
$2K |
| 90670 |
|
2,795 |
2,100 |
$1K |
| 90633 |
|
1,796 |
1,454 |
$1K |
| 90474 |
|
196 |
121 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,297 |
2,547 |
$1K |
| 90473 |
|
680 |
440 |
$964.94 |
| 90734 |
|
1,542 |
1,249 |
$961.85 |
| 97802 |
|
23,867 |
19,180 |
$837.51 |
| 90644 |
|
1,344 |
1,037 |
$776.09 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
497 |
397 |
$683.69 |
| 0003A |
|
14 |
12 |
$464.40 |
| 0001A |
|
12 |
12 |
$457.26 |
| 99188 |
|
54 |
36 |
$419.43 |
| 97803 |
|
18,523 |
14,058 |
$348.19 |
| 90696 |
|
457 |
358 |
$329.85 |
| 90715 |
|
295 |
230 |
$321.52 |
| 90680 |
|
1,684 |
1,293 |
$311.10 |
| 94761 |
|
101 |
75 |
$244.54 |
| 90723 |
|
1,199 |
957 |
$208.14 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
55 |
$204.16 |
| 90698 |
|
529 |
393 |
$199.90 |
| 90672 |
|
56 |
47 |
$199.82 |
| 81003 |
|
141 |
123 |
$180.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$173.39 |
| 90687 |
|
137 |
116 |
$149.00 |
| 90700 |
|
244 |
179 |
$111.04 |
| 99401 |
|
21 |
21 |
$110.49 |
| 96150 |
|
1,035 |
842 |
$96.43 |
| 90688 |
|
3,063 |
2,654 |
$57.72 |
| 90744 |
|
38 |
32 |
$44.92 |
| 90655 |
|
493 |
408 |
$34.92 |
| 90707 |
|
127 |
87 |
$25.12 |
| 80329 |
|
317 |
249 |
$16.39 |
| 91307 |
|
310 |
255 |
$7.29 |
| 90619 |
|
152 |
134 |
$0.00 |
| 90651 |
|
289 |
250 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
167 |
128 |
$0.00 |
| 96151 |
|
19 |
17 |
$0.00 |
| 99443 |
|
38 |
38 |
$0.00 |
| 90716 |
|
90 |
62 |
$0.00 |
| 91300 |
|
192 |
168 |
$0.00 |