| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,347 |
14,387 |
$828K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,250 |
8,674 |
$699K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,361 |
11,082 |
$405K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,663 |
3,591 |
$296K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,288 |
3,257 |
$264K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,253 |
3,180 |
$248K |
| 90461 |
|
4,798 |
4,580 |
$209K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,338 |
1,326 |
$119K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
314 |
32 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,575 |
1,528 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,619 |
2,542 |
$36K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
72 |
70 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,677 |
1,161 |
$22K |
| 90671 |
|
161 |
160 |
$8K |
| 96160 |
|
3,732 |
3,559 |
$6K |
| 0071A |
|
71 |
71 |
$6K |
| 0072A |
|
67 |
66 |
$5K |
| 96111 |
|
72 |
70 |
$5K |
| 99381 |
|
51 |
51 |
$5K |
| 99173 |
|
1,893 |
1,853 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
108 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
149 |
140 |
$2K |
| 92567 |
|
70 |
67 |
$951.83 |
| 95117 |
|
115 |
54 |
$924.30 |
| 81002 |
|
104 |
97 |
$302.23 |
| 94760 |
|
269 |
232 |
$262.60 |
| 96127 |
|
65 |
62 |
$262.45 |
| 90686 |
|
1,977 |
1,868 |
$201.42 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
66 |
64 |
$163.20 |
| 90670 |
|
1,779 |
1,610 |
$31.25 |
| 90680 |
|
769 |
711 |
$15.59 |
| 90734 |
|
68 |
66 |
$15.43 |
| 90698 |
|
1,587 |
1,482 |
$10.26 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
37 |
37 |
$4.97 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
104 |
101 |
$3.72 |
| 90633 |
|
336 |
303 |
$2.94 |
| 90648 |
|
85 |
75 |
$0.00 |
| 90685 |
|
97 |
74 |
$0.00 |
| 99072 |
|
367 |
351 |
$0.00 |
| 90700 |
|
122 |
109 |
$0.00 |
| 90713 |
|
69 |
63 |
$0.00 |
| 90707 |
|
44 |
36 |
$0.00 |
| G9920 |
Screening performed and negative |
83 |
83 |
$0.00 |
| 90710 |
|
28 |
28 |
$0.00 |
| 90744 |
|
432 |
399 |
$0.00 |
| 90716 |
|
16 |
15 |
$0.00 |
| 90651 |
|
106 |
104 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |