| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,017 |
5,404 |
$400K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,588 |
6,027 |
$312K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,309 |
2,253 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,421 |
2,370 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,616 |
4,517 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,499 |
1,482 |
$76K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,000 |
2,947 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,387 |
1,359 |
$63K |
| 90651 |
|
591 |
561 |
$35K |
| 90671 |
|
202 |
199 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,991 |
1,950 |
$25K |
| 90734 |
|
580 |
541 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
920 |
905 |
$15K |
| 90461 |
|
1,227 |
1,211 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,455 |
1,386 |
$14K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
964 |
943 |
$10K |
| 3008F |
|
2,314 |
2,267 |
$9K |
| 90716 |
|
602 |
569 |
$9K |
| 90670 |
|
598 |
556 |
$5K |
| 90707 |
|
522 |
497 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
489 |
457 |
$4K |
| 90686 |
|
1,157 |
1,133 |
$4K |
| 90715 |
|
346 |
331 |
$3K |
| 90700 |
|
1,263 |
1,186 |
$2K |
| 90713 |
|
1,011 |
946 |
$2K |
| 90674 |
|
149 |
137 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
24 |
$2K |
| 96112 |
|
26 |
26 |
$2K |
| 94667 |
|
125 |
115 |
$2K |
| 90633 |
|
428 |
407 |
$2K |
| 99401 |
|
278 |
274 |
$2K |
| 99173 |
|
613 |
599 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
643 |
635 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$908.68 |
| 94664 |
|
92 |
86 |
$905.11 |
| 90680 |
|
285 |
255 |
$812.95 |
| 36410 |
|
33 |
32 |
$586.09 |
| 90648 |
|
931 |
881 |
$584.60 |
| 90744 |
|
424 |
400 |
$528.79 |
| 83655 |
|
59 |
56 |
$445.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$105.55 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
433 |
429 |
$35.67 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
35 |
33 |
$28.00 |
| 97802 |
|
18 |
18 |
$23.04 |
| 36416 |
|
155 |
155 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
351 |
334 |
$0.00 |
| 36406 |
|
15 |
15 |
$0.00 |