| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129,269 |
119,831 |
$8.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,849 |
16,069 |
$1.62M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,980 |
15,959 |
$1.45M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13,830 |
13,813 |
$1.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,738 |
11,696 |
$1.05M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43,946 |
43,339 |
$902K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,282 |
8,058 |
$668K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,005 |
1,996 |
$201K |
| 90461 |
|
12,756 |
12,658 |
$197K |
| 36415 |
Collection of venous blood by venipuncture |
48,060 |
47,193 |
$174K |
| 92558 |
|
16,774 |
16,592 |
$147K |
| 99188 |
|
5,994 |
5,970 |
$115K |
| 96127 |
|
25,595 |
25,460 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,151 |
2,129 |
$83K |
| 97802 |
|
15,805 |
15,798 |
$82K |
| 90651 |
|
1,814 |
1,796 |
$77K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,293 |
5,261 |
$60K |
| 99381 |
|
676 |
651 |
$55K |
| 90620 |
|
1,508 |
1,495 |
$49K |
| 90734 |
|
1,847 |
1,841 |
$42K |
| 90686 |
|
10,569 |
10,478 |
$39K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,535 |
2,444 |
$35K |
| 86580 |
|
4,694 |
4,638 |
$34K |
| 96160 |
|
14,547 |
14,477 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,348 |
1,315 |
$20K |
| 92551 |
|
2,469 |
2,459 |
$19K |
| 90677 |
|
1,042 |
1,020 |
$19K |
| 90670 |
|
2,031 |
2,011 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
544 |
537 |
$11K |
| 99173 |
|
7,323 |
7,230 |
$9K |
| 83655 |
|
8,649 |
8,497 |
$6K |
| 3008F |
|
606 |
606 |
$6K |
| 90698 |
|
1,567 |
1,550 |
$5K |
| 90710 |
|
289 |
285 |
$4K |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
799 |
757 |
$4K |
| 90633 |
|
1,307 |
1,298 |
$4K |
| 94760 |
|
12,185 |
11,141 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
359 |
355 |
$3K |
| 90680 |
|
1,577 |
1,562 |
$3K |
| 69210 |
|
82 |
78 |
$3K |
| 90715 |
|
434 |
432 |
$2K |
| 92015 |
Determination of refractive state |
748 |
698 |
$2K |
| 85018 |
|
772 |
772 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
85 |
$2K |
| 0071A |
|
36 |
36 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
384 |
362 |
$1K |
| 0072A |
|
37 |
36 |
$1K |
| 90744 |
|
1,144 |
1,126 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 90716 |
|
130 |
126 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
798 |
756 |
$1K |
| 81002 |
|
1,757 |
1,727 |
$895.65 |
| 90696 |
|
239 |
237 |
$856.06 |
| 87081 |
|
12,322 |
12,075 |
$727.46 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
599 |
568 |
$570.14 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,833 |
6,724 |
$477.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
26 |
$393.74 |
| 90707 |
|
83 |
81 |
$242.81 |
| 90648 |
|
448 |
438 |
$167.68 |
| 36416 |
|
779 |
771 |
$106.41 |
| 82948 |
|
27 |
27 |
$94.16 |
| 90688 |
|
40 |
40 |
$85.62 |
| 3074F |
|
1,091 |
1,061 |
$67.01 |
| 3078F |
|
908 |
884 |
$51.01 |
| 90685 |
|
16 |
16 |
$40.13 |
| 99051 |
|
30 |
30 |
$15.15 |
| 90723 |
|
53 |
53 |
$6.00 |
| 90700 |
|
39 |
39 |
$0.00 |
| 4025F |
|
40 |
39 |
$0.00 |