| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,365 |
33,111 |
$3.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,452 |
40,882 |
$2.69M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,847 |
6,809 |
$638K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,815 |
13,693 |
$629K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,002 |
5,874 |
$537K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,069 |
5,002 |
$474K |
| 87428 |
|
7,159 |
7,051 |
$453K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,753 |
2,746 |
$286K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,732 |
6,604 |
$245K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,403 |
6,714 |
$191K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,366 |
13,147 |
$182K |
| 99381 |
|
427 |
401 |
$41K |
| 87807 |
|
2,560 |
2,489 |
$36K |
| 96127 |
|
4,280 |
4,250 |
$19K |
| 99429 |
|
1,306 |
931 |
$18K |
| 99051 |
|
510 |
509 |
$9K |
| 96161 |
|
1,952 |
1,907 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
543 |
541 |
$7K |
| 83655 |
|
598 |
595 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
319 |
301 |
$5K |
| D1206 |
Topical application of fluoride varnish |
131 |
131 |
$3K |
| 99401 |
|
113 |
113 |
$1K |
| 81002 |
|
368 |
362 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,762 |
1,715 |
$909.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
41 |
38 |
$650.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
575 |
565 |
$504.60 |
| 99173 |
|
862 |
834 |
$298.78 |
| 85018 |
|
48 |
48 |
$131.83 |
| 92551 |
|
323 |
320 |
$129.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$102.52 |
| 90686 |
|
1,410 |
1,400 |
$17.13 |
| 90685 |
|
72 |
70 |
$0.00 |
| 90681 |
|
945 |
939 |
$0.00 |
| 90670 |
|
3,602 |
3,579 |
$0.00 |
| 90700 |
|
81 |
81 |
$0.00 |
| 90734 |
|
456 |
455 |
$0.00 |
| 90633 |
|
571 |
567 |
$0.00 |
| 90710 |
|
322 |
322 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 5250F |
|
172 |
170 |
$0.00 |
| 90671 |
|
24 |
24 |
$0.00 |
| 90647 |
|
2,488 |
2,455 |
$0.00 |
| 90723 |
|
2,361 |
2,339 |
$0.00 |
| 36416 |
|
1,965 |
1,943 |
$0.00 |
| 90677 |
|
177 |
173 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
14 |
$0.00 |
| 90651 |
|
190 |
190 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 2015F |
|
13 |
12 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
51 |
51 |
$0.00 |