| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,819 |
7,402 |
$331K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,928 |
1,784 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,125 |
1,987 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,813 |
3,498 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
706 |
668 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
640 |
593 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
433 |
417 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,324 |
1,188 |
$29K |
| 99051 |
|
514 |
428 |
$27K |
| 90461 |
|
682 |
657 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
218 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
183 |
177 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
534 |
496 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
155 |
141 |
$4K |
| 87807 |
|
288 |
259 |
$3K |
| 96127 |
|
787 |
708 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
122 |
$2K |
| 90670 |
|
606 |
496 |
$1K |
| 90633 |
|
543 |
464 |
$1K |
| 90686 |
|
764 |
708 |
$1K |
| 90723 |
|
389 |
318 |
$1K |
| 90647 |
|
348 |
294 |
$754.10 |
| 90680 |
|
283 |
233 |
$672.11 |
| 83655 |
|
46 |
46 |
$621.10 |
| 90651 |
|
179 |
157 |
$459.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
33 |
$371.49 |
| 90734 |
|
126 |
118 |
$262.40 |
| 36416 |
|
410 |
376 |
$90.69 |
| 90685 |
|
27 |
26 |
$83.01 |
| 90620 |
|
27 |
26 |
$56.80 |
| 81001 |
|
29 |
26 |
$26.32 |
| 90715 |
|
13 |
13 |
$18.40 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$1.20 |
| 90707 |
|
12 |
12 |
$0.00 |