| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,116 |
9,478 |
$784K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,760 |
3,072 |
$339K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,880 |
1,847 |
$166K |
| 99215 |
Prolong outpt/office vis |
1,913 |
1,221 |
$137K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,311 |
1,280 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
988 |
960 |
$86K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,801 |
2,583 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,644 |
3,499 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,816 |
1,749 |
$45K |
| 99051 |
|
2,313 |
2,083 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,633 |
2,313 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
317 |
307 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
460 |
446 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
185 |
$24K |
| 92552 |
|
1,246 |
1,219 |
$20K |
| 92551 |
|
2,150 |
2,115 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,842 |
1,787 |
$16K |
| 96127 |
|
2,663 |
2,610 |
$12K |
| 99354 |
|
436 |
282 |
$11K |
| 81025 |
|
589 |
534 |
$4K |
| 69210 |
|
104 |
93 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
100 |
93 |
$3K |
| 81002 |
|
1,250 |
1,132 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
30 |
$3K |
| 94010 |
|
97 |
92 |
$2K |
| D1206 |
Topical application of fluoride varnish |
102 |
93 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
100 |
83 |
$939.44 |
| 90474 |
|
40 |
29 |
$485.21 |
| 82962 |
|
171 |
149 |
$294.31 |
| 93000 |
|
15 |
12 |
$160.98 |
| 99173 |
|
1,634 |
1,581 |
$43.00 |
| 99172 |
|
2,257 |
2,214 |
$16.00 |
| 90649 |
|
673 |
654 |
$0.50 |
| 90647 |
|
326 |
309 |
$0.18 |
| 90696 |
|
300 |
290 |
$0.10 |
| 90698 |
|
26 |
25 |
$0.05 |
| 90656 |
|
1,553 |
1,515 |
$0.05 |
| 3077F |
|
124 |
109 |
$0.00 |
| 1033F |
|
2,261 |
2,181 |
$0.00 |
| 90633 |
|
526 |
505 |
$0.00 |
| 3078F |
|
29 |
26 |
$0.00 |
| 90734 |
|
445 |
434 |
$0.00 |
| 90700 |
|
227 |
218 |
$0.00 |
| 1160F |
|
12,877 |
11,086 |
$0.00 |
| 90670 |
|
509 |
483 |
$0.00 |
| 90715 |
|
312 |
297 |
$0.00 |
| 90710 |
|
549 |
529 |
$0.00 |
| 90655 |
|
285 |
276 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 1032F |
|
24 |
24 |
$0.00 |
| 1036F |
|
1,502 |
1,337 |
$0.00 |
| 90723 |
|
114 |
103 |
$0.00 |
| A4615 |
Cannula, nasal |
34 |
28 |
$0.00 |
| 94761 |
|
15 |
13 |
$0.00 |
| 3074F |
|
21 |
13 |
$0.00 |
| 3008F |
|
20,037 |
16,782 |
$0.00 |
| 1101F |
|
521 |
476 |
$0.00 |
| 90680 |
|
101 |
93 |
$0.00 |
| 3079F |
|
106 |
93 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
86 |
74 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
19 |
15 |
$0.00 |
| 94760 |
|
21 |
16 |
$0.00 |