| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,162 |
2,928 |
$301K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,026 |
1,930 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,264 |
1,243 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,209 |
2,143 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
897 |
876 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
915 |
856 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
357 |
353 |
$35K |
| 99058 |
|
1,810 |
1,704 |
$30K |
| 99381 |
|
266 |
250 |
$23K |
| 92570 |
|
807 |
798 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,466 |
2,382 |
$17K |
| V5008 |
Hearing screening |
1,173 |
1,147 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
122 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,119 |
1,063 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
294 |
286 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
441 |
432 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
736 |
711 |
$7K |
| 87807 |
|
639 |
598 |
$7K |
| 92552 |
|
507 |
492 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
194 |
$4K |
| 99382 |
|
35 |
32 |
$3K |
| 85018 |
|
1,406 |
1,377 |
$3K |
| 99383 |
|
28 |
28 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
130 |
127 |
$3K |
| 94664 |
|
266 |
252 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
147 |
141 |
$2K |
| 99188 |
|
155 |
149 |
$2K |
| 36416 |
|
463 |
436 |
$2K |
| 85014 |
|
1,231 |
1,199 |
$1K |
| 81003 |
|
1,015 |
988 |
$1K |
| 99070 |
|
128 |
124 |
$892.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
162 |
158 |
$892.77 |
| 94760 |
|
700 |
663 |
$732.68 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
29 |
29 |
$422.99 |
| 92567 |
|
34 |
33 |
$421.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
20 |
$388.86 |
| 87280 |
|
32 |
32 |
$337.29 |
| A4550 |
Surgical trays |
12 |
12 |
$112.19 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
96 |
92 |
$97.20 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
41 |
40 |
$83.76 |
| 96127 |
|
18 |
17 |
$68.94 |
| 96154 |
|
23 |
23 |
$59.84 |
| A7015 |
Aerosol mask, used with dme nebulizer |
44 |
43 |
$56.02 |
| 90716 |
|
29 |
29 |
$51.51 |
| 90707 |
|
165 |
164 |
$29.91 |
| 97802 |
|
57 |
53 |
$25.04 |
| 90633 |
|
221 |
214 |
$24.65 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
90 |
89 |
$14.83 |
| 90651 |
|
54 |
53 |
$0.02 |
| 90696 |
|
39 |
38 |
$0.01 |
| 90670 |
|
824 |
781 |
$0.01 |
| 90648 |
|
595 |
568 |
$0.01 |
| 90710 |
|
178 |
170 |
$0.01 |
| 90723 |
|
170 |
151 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
77 |
77 |
$0.00 |
| 90686 |
|
68 |
67 |
$0.00 |
| 90688 |
|
176 |
170 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
72 |
64 |
$0.00 |
| 90698 |
|
182 |
169 |
$0.00 |
| 90680 |
|
543 |
512 |
$0.00 |
| 99000 |
|
519 |
499 |
$0.00 |
| 99173 |
|
1,350 |
1,300 |
$0.00 |
| 90734 |
|
117 |
114 |
$0.00 |
| 90461 |
|
124 |
122 |
$0.00 |
| 90700 |
|
43 |
40 |
$0.00 |
| 90649 |
|
52 |
51 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90687 |
|
39 |
39 |
$0.00 |
| 90621 |
|
14 |
13 |
$0.00 |
| 90715 |
|
41 |
40 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
35 |
33 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |