| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,885 |
28,944 |
$872K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,657 |
5,601 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,545 |
7,273 |
$211K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,666 |
5,664 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,164 |
6,159 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,873 |
12,812 |
$164K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,944 |
3,938 |
$99K |
| 99381 |
|
1,341 |
1,341 |
$91K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,432 |
5,805 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,520 |
1,487 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,995 |
1,965 |
$23K |
| 96127 |
|
7,148 |
4,559 |
$21K |
| 87428 |
|
457 |
455 |
$16K |
| 99383 |
|
473 |
472 |
$13K |
| 99382 |
|
374 |
374 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
449 |
449 |
$10K |
| 17110 |
|
166 |
150 |
$9K |
| 90671 |
|
972 |
970 |
$8K |
| 92551 |
|
1,919 |
1,906 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,797 |
1,768 |
$7K |
| 36416 |
|
1,242 |
1,229 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
695 |
681 |
$5K |
| 99384 |
|
227 |
227 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
236 |
235 |
$4K |
| 99177 |
|
1,819 |
1,816 |
$4K |
| 85018 |
|
1,712 |
1,707 |
$3K |
| 81003 |
|
1,942 |
1,873 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
262 |
163 |
$3K |
| 0071A |
|
70 |
70 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
325 |
317 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
244 |
244 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
78 |
$2K |
| 0072A |
|
47 |
47 |
$2K |
| 99000 |
|
136 |
134 |
$1K |
| 81025 |
|
235 |
230 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
69 |
$1K |
| 69210 |
|
38 |
38 |
$1K |
| 0001A |
|
43 |
43 |
$984.10 |
| 92558 |
|
145 |
145 |
$554.17 |
| 96161 |
|
463 |
452 |
$536.63 |
| 90621 |
|
433 |
433 |
$422.52 |
| 0002A |
|
13 |
13 |
$302.80 |
| 90651 |
|
1,402 |
1,398 |
$229.34 |
| 90710 |
|
1,260 |
1,256 |
$182.00 |
| 90620 |
|
287 |
287 |
$180.20 |
| 90670 |
|
3,359 |
3,356 |
$95.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
50 |
50 |
$70.50 |
| 90686 |
|
1,899 |
1,898 |
$62.58 |
| 90698 |
|
3,932 |
3,926 |
$54.00 |
| 99401 |
|
205 |
205 |
$50.00 |
| 90680 |
|
2,957 |
2,953 |
$41.30 |
| 90715 |
|
1,010 |
1,010 |
$38.31 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
54 |
54 |
$35.00 |
| 90744 |
|
2,474 |
2,472 |
$26.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
132 |
131 |
$18.28 |
| 99173 |
|
36 |
36 |
$8.50 |
| 99174 |
|
26 |
26 |
$0.00 |
| 90696 |
|
1,187 |
1,184 |
$0.00 |
| 90677 |
|
43 |
43 |
$0.00 |
| 90619 |
|
909 |
909 |
$0.00 |
| 90716 |
|
1,151 |
1,150 |
$0.00 |
| 90656 |
|
296 |
295 |
$0.00 |
| 91307 |
|
154 |
141 |
$0.00 |
| 90674 |
|
50 |
50 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
21 |
21 |
$0.00 |
| 97802 |
|
21 |
21 |
$0.00 |
| 90633 |
|
2,503 |
2,498 |
$0.00 |
| 90707 |
|
1,136 |
1,135 |
$0.00 |
| 90734 |
|
704 |
704 |
$0.00 |
| 90700 |
|
419 |
419 |
$0.00 |
| 90648 |
|
55 |
55 |
$0.00 |
| 90461 |
|
1,501 |
1,501 |
$0.00 |
| 91300 |
|
56 |
53 |
$0.00 |
| 90672 |
|
30 |
30 |
$0.00 |