| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,043 |
1,790 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,168 |
1,036 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
923 |
860 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
303 |
288 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
271 |
253 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
280 |
263 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
404 |
371 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
243 |
234 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
174 |
$1K |
| 96160 |
|
223 |
215 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
169 |
139 |
$886.08 |
| 92551 |
|
136 |
133 |
$882.43 |
| 99173 |
|
169 |
163 |
$800.04 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$682.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
53 |
43 |
$657.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$271.43 |
| 36415 |
Collection of venous blood by venipuncture |
133 |
125 |
$249.45 |
| 90686 |
|
244 |
240 |
$178.00 |
| 36416 |
|
144 |
127 |
$175.04 |
| 96161 |
|
15 |
15 |
$144.80 |
| 90461 |
|
449 |
426 |
$130.59 |
| 90698 |
|
271 |
253 |
$119.12 |
| 90680 |
|
123 |
115 |
$106.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
46 |
40 |
$1.91 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90670 |
|
252 |
236 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90744 |
|
61 |
55 |
$0.00 |
| 94760 |
|
49 |
43 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |