| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,003 |
31,541 |
$2.76M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,734 |
15,171 |
$761K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,110 |
6,099 |
$552K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,450 |
6,374 |
$550K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,313 |
5,023 |
$549K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,606 |
4,602 |
$415K |
| 92587 |
|
11,130 |
11,005 |
$347K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16,269 |
15,372 |
$255K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,635 |
17,487 |
$242K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,153 |
2,153 |
$211K |
| 36406 |
|
8,298 |
6,623 |
$107K |
| 36410 |
|
4,833 |
4,640 |
$96K |
| 87081 |
|
13,900 |
13,213 |
$72K |
| 99381 |
|
655 |
655 |
$62K |
| A7030 |
Full face mask used with positive airway pressure device, each |
624 |
580 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,975 |
13,761 |
$32K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,338 |
2,157 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,328 |
3,115 |
$12K |
| 99383 |
|
62 |
62 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,269 |
2,092 |
$4K |
| 86580 |
|
540 |
539 |
$3K |
| 90686 |
|
6,517 |
6,490 |
$3K |
| 90461 |
|
5,068 |
5,035 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 99382 |
|
15 |
15 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,634 |
1,511 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,179 |
2,145 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99173 |
|
5,248 |
5,226 |
$1K |
| 90671 |
|
458 |
457 |
$965.47 |
| 90677 |
|
1,003 |
1,000 |
$894.12 |
| 90620 |
|
145 |
145 |
$677.55 |
| 90716 |
|
1,608 |
1,596 |
$390.43 |
| 90473 |
|
3,535 |
3,517 |
$379.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$359.86 |
| 90734 |
|
283 |
282 |
$314.30 |
| 90670 |
|
2,724 |
2,697 |
$241.38 |
| 90715 |
|
140 |
140 |
$193.44 |
| 90707 |
|
1,613 |
1,605 |
$191.62 |
| 90723 |
|
3,294 |
3,272 |
$177.63 |
| 90633 |
|
2,127 |
2,115 |
$167.08 |
| 90649 |
|
539 |
539 |
$120.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$95.00 |
| 94664 |
|
2,045 |
1,884 |
$82.95 |
| 90648 |
|
4,181 |
4,151 |
$37.46 |
| 90680 |
|
3,089 |
3,069 |
$35.00 |
| 94760 |
|
1,369 |
1,040 |
$4.68 |
| 99174 |
|
37 |
36 |
$0.01 |
| 90700 |
|
596 |
591 |
$0.00 |
| 90710 |
|
51 |
51 |
$0.00 |
| 90685 |
|
365 |
364 |
$0.00 |
| 90696 |
|
238 |
236 |
$0.00 |
| 90381 |
|
47 |
47 |
$0.00 |