| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,164 |
12,773 |
$1.09M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,656 |
2,656 |
$237K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,483 |
2,479 |
$224K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,723 |
1,709 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,276 |
1,276 |
$125K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,967 |
2,955 |
$104K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,602 |
4,566 |
$78K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,841 |
1,810 |
$62K |
| 99381 |
|
527 |
527 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
310 |
306 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,722 |
853 |
$23K |
| 99383 |
|
223 |
223 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,640 |
1,634 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,265 |
1,251 |
$17K |
| 96127 |
|
2,155 |
2,047 |
$11K |
| 99382 |
|
97 |
97 |
$10K |
| 99384 |
|
83 |
83 |
$9K |
| 85018 |
|
4,636 |
4,633 |
$9K |
| 83655 |
|
841 |
840 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
41 |
$2K |
| 96380 |
|
67 |
67 |
$2K |
| 81002 |
|
240 |
235 |
$660.35 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
126 |
125 |
$651.28 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
45 |
45 |
$41.40 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
79 |
78 |
$4.12 |
| 99173 |
|
2,508 |
2,507 |
$0.00 |
| 90670 |
|
599 |
597 |
$0.00 |
| 90633 |
|
966 |
964 |
$0.00 |
| 90700 |
|
426 |
426 |
$0.00 |
| 90715 |
|
271 |
271 |
$0.00 |
| 90671 |
|
981 |
980 |
$0.00 |
| 90648 |
|
107 |
107 |
$0.00 |
| 90710 |
|
444 |
444 |
$0.00 |
| 90707 |
|
468 |
468 |
$0.00 |
| 90380 |
|
31 |
31 |
$0.00 |
| 90696 |
|
411 |
411 |
$0.00 |
| 90716 |
|
463 |
463 |
$0.00 |
| 90619 |
|
482 |
482 |
$0.00 |
| 90680 |
|
834 |
832 |
$0.00 |
| 90698 |
|
1,028 |
1,026 |
$0.00 |
| 90620 |
|
126 |
125 |
$0.00 |
| 90647 |
|
232 |
232 |
$0.00 |
| 90686 |
|
366 |
366 |
$0.00 |
| 90744 |
|
749 |
746 |
$0.00 |
| 90656 |
|
219 |
218 |
$0.00 |
| 90651 |
|
540 |
539 |
$0.00 |
| 90381 |
|
24 |
24 |
$0.00 |
| 90697 |
|
17 |
17 |
$0.00 |
| 90688 |
|
81 |
81 |
$0.00 |
| 90723 |
|
28 |
27 |
$0.00 |