| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,923 |
22,911 |
$2.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,057 |
14,490 |
$969K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,144 |
5,846 |
$535K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,470 |
5,470 |
$505K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,579 |
8,576 |
$337K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,846 |
14,824 |
$265K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,354 |
2,354 |
$211K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
644 |
644 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,919 |
1,909 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,380 |
3,354 |
$45K |
| 99051 |
|
6,259 |
6,098 |
$41K |
| 99381 |
|
188 |
188 |
$18K |
| 96127 |
|
3,856 |
3,855 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
46 |
$7K |
| 87807 |
|
593 |
580 |
$7K |
| 99383 |
|
59 |
59 |
$6K |
| 83655 |
|
398 |
398 |
$4K |
| 0072A |
|
47 |
47 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
209 |
209 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
77 |
$2K |
| 99382 |
|
15 |
15 |
$1K |
| 0002A |
|
49 |
49 |
$1K |
| 0071A |
|
29 |
29 |
$1K |
| 0001A |
|
59 |
59 |
$999.46 |
| 85018 |
|
313 |
313 |
$639.98 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
38 |
37 |
$572.95 |
| 99173 |
|
207 |
207 |
$485.84 |
| 0112A |
|
13 |
13 |
$455.00 |
| 88720 |
|
93 |
72 |
$397.71 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
53 |
51 |
$96.50 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
53 |
51 |
$67.99 |
| 90670 |
|
2,303 |
2,303 |
$0.00 |
| 90633 |
|
670 |
670 |
$0.00 |
| 96160 |
|
2,393 |
2,393 |
$0.00 |
| 90700 |
|
468 |
468 |
$0.00 |
| 90707 |
|
40 |
40 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90710 |
|
38 |
38 |
$0.00 |
| 91311 |
|
15 |
14 |
$0.00 |
| 91300 |
|
129 |
116 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90686 |
|
2,900 |
2,898 |
$0.00 |
| 90723 |
|
780 |
780 |
$0.00 |
| 90680 |
|
1,014 |
1,014 |
$0.00 |
| 90647 |
|
1,408 |
1,408 |
$0.00 |
| 90651 |
|
39 |
39 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 91307 |
|
109 |
101 |
$0.00 |
| 90716 |
|
52 |
52 |
$0.00 |