| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,429 |
7,539 |
$431K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,257 |
5,063 |
$201K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,845 |
1,791 |
$137K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,882 |
1,721 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,711 |
1,569 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,222 |
1,163 |
$96K |
| 90461 |
|
1,887 |
1,813 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,935 |
2,875 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
765 |
707 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
364 |
$25K |
| 86328 |
|
773 |
641 |
$19K |
| 99383 |
|
155 |
153 |
$14K |
| 92587 |
|
1,606 |
1,541 |
$13K |
| 99174 |
|
1,816 |
1,778 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,014 |
947 |
$8K |
| 85018 |
|
3,457 |
3,414 |
$7K |
| 99381 |
|
71 |
70 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
313 |
303 |
$4K |
| 83655 |
|
339 |
334 |
$3K |
| 96160 |
|
1,650 |
1,533 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
222 |
218 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 99173 |
|
806 |
750 |
$661.91 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
25 |
$339.07 |
| 90670 |
|
1,063 |
881 |
$258.43 |
| 95115 |
|
32 |
32 |
$205.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$140.64 |
| 90681 |
|
163 |
144 |
$131.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$129.56 |
| 90723 |
|
860 |
710 |
$118.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
46 |
41 |
$89.23 |
| 90647 |
|
938 |
798 |
$67.15 |
| 81002 |
|
12 |
12 |
$36.62 |
| 90707 |
|
640 |
506 |
$10.89 |
| 90633 |
|
641 |
535 |
$10.89 |
| 90716 |
|
664 |
527 |
$10.89 |
| 90734 |
|
413 |
322 |
$5.31 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
14 |
$1.51 |
| 90715 |
|
58 |
44 |
$0.00 |
| 90700 |
|
28 |
25 |
$0.00 |
| 90685 |
|
57 |
57 |
$0.00 |
| 90651 |
|
386 |
297 |
$0.00 |
| 90677 |
|
269 |
241 |
$0.00 |
| 90696 |
|
28 |
27 |
$0.00 |
| 90686 |
|
795 |
765 |
$0.00 |
| 90674 |
|
745 |
551 |
$0.00 |
| 36416 |
|
157 |
103 |
$0.00 |
| 90620 |
|
142 |
113 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |