| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,474 |
17,491 |
$1.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,345 |
5,050 |
$440K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,470 |
4,352 |
$340K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,674 |
4,414 |
$337K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,428 |
1,389 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,296 |
3,171 |
$107K |
| 90670 |
|
3,138 |
3,037 |
$69K |
| 90671 |
|
672 |
634 |
$68K |
| 90698 |
|
2,968 |
2,856 |
$54K |
| 90680 |
|
2,617 |
2,498 |
$47K |
| 90677 |
|
370 |
346 |
$41K |
| 92551 |
|
3,858 |
3,750 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
440 |
433 |
$36K |
| 90686 |
|
2,452 |
2,371 |
$29K |
| 90633 |
|
2,019 |
1,971 |
$28K |
| 99188 |
|
1,286 |
1,271 |
$27K |
| 99381 |
|
342 |
306 |
$26K |
| 90710 |
|
517 |
502 |
$25K |
| 90744 |
|
1,804 |
1,713 |
$22K |
| 90461 |
|
8,123 |
7,800 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
278 |
274 |
$21K |
| 90651 |
|
343 |
334 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,223 |
11,629 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,555 |
719 |
$18K |
| 90700 |
|
989 |
964 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
783 |
749 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
753 |
707 |
$9K |
| 99173 |
|
3,791 |
3,685 |
$9K |
| 90716 |
|
261 |
260 |
$8K |
| 90619 |
|
101 |
98 |
$7K |
| 90707 |
|
268 |
256 |
$5K |
| 90734 |
|
183 |
178 |
$5K |
| 90648 |
|
460 |
420 |
$4K |
| 99000 |
|
3,861 |
3,724 |
$4K |
| 96127 |
|
944 |
917 |
$4K |
| 90685 |
|
339 |
306 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
399 |
385 |
$3K |
| 90713 |
|
239 |
231 |
$3K |
| 0001A |
|
74 |
74 |
$3K |
| 85018 |
|
1,135 |
1,119 |
$2K |
| 0002A |
|
59 |
59 |
$2K |
| 81002 |
|
791 |
733 |
$2K |
| 87807 |
|
160 |
156 |
$2K |
| 90715 |
|
110 |
104 |
$2K |
| 90621 |
|
29 |
28 |
$2K |
| 90381 |
|
17 |
16 |
$2K |
| 90474 |
|
2,475 |
2,371 |
$1K |
| 0072A |
|
29 |
29 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 0071A |
|
18 |
18 |
$696.00 |
| 90696 |
|
54 |
54 |
$663.82 |
| 90697 |
|
13 |
12 |
$638.96 |
| 96161 |
|
183 |
157 |
$385.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
34 |
$384.00 |
| 36416 |
|
1,190 |
1,172 |
$200.26 |
| 81000 |
|
13 |
12 |
$34.11 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
16 |
12 |
$5.28 |
| 91300 |
|
172 |
158 |
$1.24 |
| 91307 |
|
85 |
80 |
$0.60 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
12 |
$0.40 |
| 91308 |
|
15 |
14 |
$0.10 |