| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,100 |
24,659 |
$1.19M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,604 |
4,740 |
$414K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,265 |
9,075 |
$280K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,672 |
3,573 |
$276K |
| 92587 |
|
5,391 |
5,214 |
$226K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,744 |
2,670 |
$207K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18,902 |
17,297 |
$159K |
| 87428 |
|
3,196 |
2,899 |
$146K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,122 |
4,645 |
$135K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,740 |
1,688 |
$131K |
| D1208 |
Topical application of fluoride, excluding varnish |
5,701 |
5,550 |
$101K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
895 |
848 |
$49K |
| 99460 |
|
590 |
570 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
480 |
468 |
$35K |
| 87807 |
|
1,428 |
1,285 |
$18K |
| 99173 |
|
2,902 |
2,811 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
249 |
233 |
$11K |
| 87430 |
|
628 |
585 |
$7K |
| 83655 |
|
576 |
558 |
$6K |
| 99381 |
|
85 |
82 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
91 |
$3K |
| 86318 |
|
142 |
130 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$1K |
| 81002 |
|
334 |
313 |
$939.35 |
| 85018 |
|
660 |
641 |
$913.53 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
50 |
48 |
$401.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$294.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
39 |
38 |
$129.95 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$117.96 |
| 99000 |
|
42 |
42 |
$0.00 |