| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,180 |
42,933 |
$2.34M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,380 |
18,870 |
$437K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,570 |
5,369 |
$328K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,425 |
6,364 |
$315K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,288 |
4,230 |
$208K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,846 |
3,816 |
$199K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,464 |
1,457 |
$132K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,435 |
1,424 |
$78K |
| 90461 |
|
8,556 |
6,336 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
762 |
757 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
940 |
870 |
$34K |
| 99381 |
|
354 |
352 |
$24K |
| 90670 |
|
1,799 |
1,748 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,062 |
6,923 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,158 |
948 |
$18K |
| 90671 |
|
191 |
188 |
$18K |
| 90686 |
|
3,538 |
3,496 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
2,551 |
2,523 |
$13K |
| 90716 |
|
884 |
852 |
$10K |
| 92552 |
|
849 |
847 |
$9K |
| 99442 |
|
847 |
797 |
$8K |
| 99383 |
|
139 |
139 |
$7K |
| 90700 |
|
2,337 |
2,296 |
$7K |
| 90707 |
|
867 |
825 |
$6K |
| 99382 |
|
100 |
100 |
$5K |
| 90713 |
|
1,617 |
1,581 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
460 |
431 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
305 |
242 |
$4K |
| 99384 |
|
43 |
43 |
$3K |
| 90633 |
|
1,023 |
996 |
$3K |
| 90734 |
|
179 |
174 |
$3K |
| 99441 |
|
416 |
402 |
$2K |
| 90680 |
|
1,106 |
1,084 |
$2K |
| 90658 |
|
339 |
339 |
$2K |
| 36406 |
|
194 |
192 |
$2K |
| 90648 |
|
1,667 |
1,636 |
$1K |
| 90651 |
|
148 |
144 |
$1K |
| 90649 |
|
13 |
13 |
$726.75 |
| 90744 |
|
987 |
970 |
$517.53 |
| 90655 |
|
143 |
143 |
$385.94 |
| 90715 |
|
72 |
69 |
$315.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
32 |
$201.40 |
| 94664 |
|
14 |
14 |
$134.56 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
50 |
50 |
$122.89 |
| 90696 |
|
299 |
281 |
$67.13 |
| 86580 |
|
14 |
14 |
$66.84 |
| 90657 |
|
12 |
12 |
$28.23 |
| 87400 |
|
49 |
48 |
$26.67 |
| 90647 |
|
15 |
15 |
$0.00 |
| 97802 |
|
24 |
24 |
$0.00 |