| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,335 |
4,854 |
$398K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,282 |
11,247 |
$305K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,874 |
6,767 |
$264K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,684 |
3,370 |
$264K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,969 |
2,656 |
$232K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,869 |
7,143 |
$158K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
979 |
889 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,662 |
1,517 |
$83K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,786 |
3,873 |
$44K |
| 94070 |
|
880 |
776 |
$41K |
| 99381 |
|
397 |
371 |
$30K |
| 90461 |
|
4,544 |
3,698 |
$15K |
| 92551 |
|
2,958 |
2,593 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,003 |
874 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
493 |
471 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
498 |
432 |
$6K |
| 0072A |
|
93 |
93 |
$4K |
| 0071A |
|
130 |
129 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,291 |
2,669 |
$3K |
| 90671 |
|
582 |
502 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
145 |
119 |
$2K |
| 96160 |
|
942 |
870 |
$2K |
| 90688 |
|
1,215 |
1,171 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
140 |
114 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
158 |
89 |
$999.31 |
| 81003 |
|
351 |
304 |
$586.84 |
| 90710 |
|
1,034 |
915 |
$494.00 |
| 87807 |
|
35 |
34 |
$371.80 |
| 0001A |
|
21 |
21 |
$152.46 |
| 90723 |
|
268 |
262 |
$92.81 |
| 84030 |
|
125 |
123 |
$66.06 |
| 81000 |
|
16 |
15 |
$36.18 |
| 90715 |
|
36 |
31 |
$29.34 |
| 90686 |
|
220 |
219 |
$19.72 |
| 90697 |
|
1,623 |
1,476 |
$3.21 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
48 |
45 |
$1.95 |
| 91307 |
|
242 |
231 |
$0.57 |
| 90672 |
|
278 |
276 |
$0.13 |
| 90687 |
|
794 |
782 |
$0.08 |
| 90734 |
|
217 |
199 |
$0.04 |
| 90670 |
|
2,512 |
2,375 |
$0.03 |
| 90648 |
|
1,000 |
963 |
$0.01 |
| 90700 |
|
730 |
671 |
$0.01 |
| 90680 |
|
2,142 |
2,021 |
$0.01 |
| 90651 |
|
77 |
65 |
$0.01 |
| 90716 |
|
366 |
329 |
$0.01 |
| 99173 |
|
3,738 |
3,375 |
$0.00 |
| 90707 |
|
383 |
347 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
6,072 |
5,405 |
$0.00 |
| 90633 |
|
1,726 |
1,553 |
$0.00 |
| 3455F |
|
5,900 |
5,429 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
5,100 |
4,516 |
$0.00 |
| 1033F |
|
11,270 |
10,244 |
$0.00 |
| 90681 |
|
85 |
55 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,469 |
1,312 |
$0.00 |
| 91300 |
|
95 |
90 |
$0.00 |
| 3210F |
|
361 |
347 |
$0.00 |
| 1032F |
|
199 |
194 |
$0.00 |
| 90649 |
|
30 |
27 |
$0.00 |
| 90696 |
|
558 |
493 |
$0.00 |
| 90698 |
|
352 |
344 |
$0.00 |
| 96127 |
|
35 |
32 |
$0.00 |
| 90744 |
|
152 |
148 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
32 |
29 |
$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) |
57 |
54 |
$0.00 |
| 36416 |
|
51 |
51 |
$0.00 |